- CVS Health (Providence, RI)
- …This position is responsible for forecasting claims costs and expanding Aetna's pharmacy analytics capabilities. This role includes: + Accountability for medical ... and pharmacy claim forecasts for all Aetna lines of business...and drive change. + Support development of medical and pharmacy (incl. Part D) pricing trend assumptions for all… more
- Humana (Providence, RI)
- …of coding practices and clinical documentation, grievance and appeals processes (including pharmacy ), and reviews for DME, genetic testing, etc. within their scope. ... with other team members, other departments, Humana colleagues and the Regional VP Health Services. After completion of structured and mentored training, daily work… more