• Senior Special Investigations Coding…

    CVS Health (Providence, RI)
    …State Regulators. + Collaboration: Develops and maintains close working relationships with Aetna Medical Directors, Nurses, and other clinical staff who conduct ... professional to manage strategic initiatives, along with a team of medical coders/nurses supporting Aetna 's Special Investigations Unit. Key Responsibilities: +… more
    CVS Health (05/24/25)
    - Save Job - Related Jobs - Block Source
  • Senior Network Vendor Manager

    CVS Health (Providence, RI)
    …Middle East excluding Americas region in support of international network, medical cost management and overall claim/customer service strategies. Provide concierge ... Third Party Risk Governance process for your assigned TPA(s). + Manage ongoing Aetna compliance review process for your assigned TPA(s). + Manage monthly billing /… more
    CVS Health (05/16/25)
    - Save Job - Related Jobs - Block Source
  • Senior Manager , Network Management,…

    CVS Health (Providence, RI)
    …Join Aetna /CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level reviews ... value-based contract relationships in support of business strategies. * Represent Aetna with high visibility constituents, including customers and community groups.… more
    CVS Health (05/16/25)
    - Save Job - Related Jobs - Block Source
  • Senior Manager , Strategic Planning…

    CVS Health (Providence, RI)
    …and contract outliers, drive for improvement in costs to better position Aetna in the marketplace. + Review and interpretmedical transparency data; summarize and ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
    CVS Health (05/21/25)
    - Save Job - Related Jobs - Block Source
  • Senior Analyst, Project Management

    CVS Health (Woonsocket, RI)
    …heart, each and every day. **Position Summary** : *This is not an IT Project Manager role.* The candidate for this Senior Analyst, Project Management position on ... database. - Identifies cross-functional support required to achieve business objectives. \# Aetna UW **Required Qualifications** : - Proven track record in meeting… more
    CVS Health (05/29/25)
    - Save Job - Related Jobs - Block Source
  • Sr Manager ,Product Mgt & Development…

    CVS Health (Providence, RI)
    …Duals Center of Excellence, clinical, compliance, analytics and network teams, the Senior Manager drives innovation and operational excellence to optimize member ... Leads the strategy, design, development and lifecycle management of Aetna 's integrated products (HIDE/FIDE) that serve Medicare Advantage populations, including… more
    CVS Health (05/31/25)
    - Save Job - Related Jobs - Block Source
  • Sr Manager , Product Development

    CVS Health (Providence, RI)
    …all with heart, each and every day. **A Brief Overview** We are hiring a Senior Product Manager to help manage our Caremark advocacy portfolio, a new, ... role can be hybrid/on site at one of our CVS/ Aetna offices, or remote, with preference for candidates in...our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company… more
    CVS Health (05/17/25)
    - Save Job - Related Jobs - Block Source