- 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)
- …**Shift Available: Tuesday-Saturday; 1:30pm-10:00pm EST** Holidays required. This is a fully remote position and the following are some required Work from Home ... criteria which includes but is not limited to maintaining your own internet with approved speed requirements, secure workspace free from distractions, and successful completion of the training program. Download speed 25mbps or more and upload speed 10 mbps or… more