- CVS Health (Annapolis, MD)
- …with heart, each and every day. **Position Summary** + This position is for an Inbound / Outbound Queue Associate with American Health Holdings Medical ... Management Customer Service Department. + The job is part of a fast-paced environment in which high level customer service is a must. + Promotes/ supports quality effectiveness of healthcare services. **Required Qualifications** + 1+ years of call center… more
- CVS Health (Annapolis, MD)
- …standards, where applicable, while adhering to company policy and procedures. - Places outbound calls to providers under the direction of Medical - Management Nurses ... to obtain clinical information for approval of medical authorizations. - Uses Aetna Systems such as QNXT, ProFAX, ProPAT, and Milliman Criteria. - Communicates with Aetna Nurses and Medical Directors, when processing transactions for members active in this… more
- CVS Health (Annapolis, MD)
- …**This position is for candidates in the EST time zone.** + **Training 8-10 weeks; Monday-Friday 8:00am-6pm EST** + **Flexible schedules consist of: Monday thru ... Friday 2-10pm EST and Wednesday - Sunday 8am-5pm EST** + **No PTO is available during training** + **4-5 work week, hours will be 8:00am-5pm EST** + **Weekend availability is a must** Provide comprehensive healthcare management to facilitate delivery of… more
- CVS Health (Annapolis, MD)
- …Supports comprehensive coordination of medical services through composition and auditing of approval and denial letters. Position is responsible for learning and ... producing letters for up to 13 centralized Medicaid health plans throughout the day, shifting and prioritizing work to meet turn around times. Promotes and supports quality effectiveness of the Healthcare Services. Maintains accurate and complete documentation… more