- CVS Health (Jefferson City, MO)
- …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 (Jefferson City, MO)
- …compliance, financial viability, performance, and alignment to organizational goals. The Senior Manager will also develop and implement standardized processes ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- CVS Health (Jefferson City, MO)
- …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 (Jefferson City, MO)
- …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 (Jefferson City, MO)
- …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 (Jefferson City, MO)
- …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