- NewYork-Presbyterian (Bradenton, FL)
- …Employers for Women" - Forbes 2023 "Workplace Well-being Platinum Winner" - Aetna 2023 "America's Best-In-State Employers" - Forbes "Silver HCM Excellence Award for ... Learning & Development" - Brandon Hall Group NewYork-Presbyterian Hospital is an equal opportunity employer. Salary Range: $270,000-$335,000/Annual It all begins with you. Our amazing compensation packages start with competitive base pay and include… more
- CVS Health (Hartford, CT)
- …all with heart, each and every day. **Position Summary:** As the Lead Director of Aetna Campaigns and Communications, you will partner with and report to the Head of ... Communications, Aetna . This is a visible role, spanning the clinical,...provider and broader operations team to shape a distinctive Aetna narrative and build holistic, multi-channel communications campaigns. The… more
- CVS Health (Nashville, TN)
- …Summary** : Sales Executives are professionals who help us build our Aetna 's Specialty Division business via the broker distribution channels for Dental/Vision ... 2-100 employees). Their goal is to understand and meet customer needs using Aetna 's and CVS' combined products and services. This position is eligible to participate… more
- CVS Health (Springfield, IL)
- …convenient and more compassionate. And we do it all with heart, each and every day. Aetna Better Health is Aetna 's Medicaid managed care plan. Backed by over 30 ... need it is essential to better health. That's why Aetna (R) Medicaid plans include the guidance and support needed...CVS assets to bring accessible healthcare to our members. ** Aetna Better Health of Illinois (ABHIL)** is seeking an… more
- CVS Health (Topeka, KS)
- …experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit ( Aetna SIU), dedicated to a specific self-funded plan sponsor. In this role, ... + Certified Professional Coder (CPC), AHFI, CFE + Knowledge of CVS/ Aetna 's policies and procedures + Understanding of self-funded insurance plan operations… more
- CVS Health (Richmond, VA)
- …presentations to internal and external customers regarding healthcare fraud matters and Aetna 's approach to fighting fraud + Provides input regarding controls for ... from the National Health Care Anti-Fraud Association (AHFI) + Knowledge of Aetna 's policies and procedures. + Knowledge and understanding of complex clinical issues.… more
- CVS Health (Phoenix, AZ)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** Aetna , a CVS Health Company, is one of the oldest and largest national insurers. ... quality and fraud waste and abuse review for individual cases for members across Aetna . This role is fully remote. Eligible candidates must be licensed in Arizona… more
- CVS Health (Harrisburg, PA)
- …company clinical and payment policies to determine the impact of the scheme on Aetna business. + Keep current with new and emerging fraud, waste, and abuse schemes ... Excel. **Preferred Qualifications** + Certified Professional Coder + Knowledge of CVS/ Aetna 's policies and procedures + Excellent verbal and written communication… more
- CVS Health (Boston, MA)
- …skills to the next level with a Fortune 5 company? Check out this opportunity with Aetna , a CVS Health company! This is a remote based work from home role. The ... Aetna One Advocate model provides the member with a powerful and proactive experience through high touch, personalized communications designed to help the member… more
- CVS Health (Columbus, OH)
- …heart, each and every day. **Position Summary** The Pharmacy Director for Aetna Better Health OhioRISE will be responsible for all clinical, financial, operational ... and compliance activities related to the prescription drug benefit for the Plan. The Pharmacy Director is an integral member of the health plan executive leadership team (CEO, COO, CMO, CFO, Legal, and Actuarial) providing leadership, analysis, and guidance to… more
- CVS Health (San Antonio, TX)
- …and Coding certifications such as CPC (AAPC) * Knowledge of Aetna 's policies and procedures **Education** Bachelors or equivalent experience **Anticipated Weekly ... Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $60,300.00 - $132,600.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position… more
- CVS Health (Hartford, CT)
- …Proficiency with Microsoft Excel and PowerPoint is needed along with experience with Aetna Finance systems and processes. *The ideal candidate will be located near ... Hartford, CT and will be in office 3 days/week at the Hartford location. **Fundamental components** + Maintain and enhance membership-based staffing models for various functions and products, drive efficient staffing to support service expectations. + Develop… more
- CVS Health (St. Paul, MN)
- …and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA) - Knowledge of Aetna 's policies and procedures - Ability to interact with different groups of people ... at different levels and provide assistance on a timely basis. **Education** - Bachelor's degree and/or an Associate's degree with three additional years working in health care fraud, waste, and abuse investigations and audits. **Anticipated Weekly Hours** 40… more
- CVS Health (Hartford, CT)
- …is looking for a Licensed HVAC Technician to join our team at Aetna Corporate Headquarters, taking pride in ensuring our facilities operate at peak performance ... through your expertise in HVAC systems and safety. In this role you will be responsible for the installation, maintenance, and repair and testing of a wide range of electrical or mechanical equipment. You will ensure safe workplace practices are followed at… more
- CVS Health (Phoenix, AZ)
- …The **Case Management Supervisor** is responsible for up to 14 case managers. They provide oversight to ensure member needs are met by auditing cases, providing ... direction, and reviewing cases with their staff. Supervisors conduct individual and team meetings, audit documentation and key measurements of each case manager and work to effectively manage their team for success. Supervisors meet regularly with their… more
- CVS Health (Hartford, CT)
- …TCOE is seeking a Subject Matter Expert (SME) who will assist the testing team with review and interpretation of business requirements, development of test scenarios, ... validation of test results and trouble-shooting issues identified during test execution. The ideal candidate will provide UM Configuration expertise and guidance on development of test execution strategies and test plans to ensure test results meet expected… more
- CVS Health (Harrisburg, PA)
- …The Behavioral Health Coordinator is a licensed mental health professional responsible for supporting behavioral health program development for CHIP and other ... community-based initiatives while advancing behavioral health integration and provider collaboration across Pennsylvania. This role focuses on building and implementing strategies that connect physical health and behavioral health services, particularly for… more
- CVS Health (Hartford, CT)
- …The Divisional CFO for Medicare Part D and Medicare Supplement is responsible for the financial stewardship, regulatory compliance, and strategic direction of these ... two major business lines. This leader partners with senior executives to ensure sustainable profitability, regulatory alignment, and market competitiveness, while also overseeing reporting, forecasting, and capital allocation across both product lines. **Key… more
- CVS Health (Harrisburg, PA)
- …The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for ... medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company… more
- CVS Health (Phoenix, AZ)
- …+ **Quality of Care Investigations:** Lead and manage investigations into care concerns, ensuring timely resolution, thorough documentation, and implementation of ... At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans… more
