- CVS Health (San Antonio, TX)
- …of network management, clinical coverage, and policies. Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care ... clinical tools and information/data. - Utilizes case management processes in compliance with regulatory and company policies and procedures. - Facilitates… more
- CVS Health (Downers Grove, IL)
- …environment with a current focus on integrated special needs plans. The Sr. Manager Compliance maintains productive relationships and open lines of communication ... do it all with heart, each and every day. **Position Summary:** The Sr. Manager is an experienced/career level compliance position that applies compliance ,… more
- CVS Health (Concord, NH)
- …And we do it all with heart, each and every day. **Position Summary** At Aetna , our health benefits business , we are committed to helping our members achieve ... care landscape in new and exciting ways every day. Aetna is recruiting for an AVP, General Manager...cost structure and local execution of medical costs management, compliance , and revenue integrity efforts for all Medicare Advantage… more
- CVS Health (Austin, TX)
- …seeking an experienced and strategic leader to oversee Change and Release Management for the Aetna Line of Business (LOB). This role is pivotal in ensuring the ... assessment, business impact analysis, and executive-level reporting. + Represent Aetna LOB in Change Advisory Board (CAB) meetings; validate enterprise changes,… more
- CVS Health (Kalamazoo, MI)
- …preferred -Certified Case Manager preferred **Education** -Associates required, BSN preferred ** Business Overview** At Aetna , a CVS Health company, we are ... it all with heart, each and every day. **Case Manager RN** WFH/Field **Position Summary** Help us elevate our...This is a work from home position. Schedule: Standard business hours - 8:00AM-5:00PM, no night, weekend or holiday… more
- CVS Health (Harrisburg, PA)
- …managing pilot studies to assess emerging technologies, reviewing CVS Health / Aetna clinical BH programs, and assisting in the development of opportunities to ... CVS Health policy, and provider Credentialing. The candidate will collaborate across business units to ensure that the behavioral health strategy aligns with … more
- Stanley Martin Homes (Glen Allen, VA)
- …proud of. **Explore Opportunities Today** **A day in the life of a Land Acquisition Manager :** Life as a Land Acquisition Manager is exciting and different every ... consist of building financial models, identifying underutilized properties and ensuring contract compliance for current land deals, all in a hybrid work environment.… more
- CVS Health (Hartford, CT)
- …of data extracts and automation reports for analysis. + Provide business operational support for Aetna 's communication applications including reporting, ... Summary** **This role will site on-site in Hartford, CT.** The Project Manager will lead and support initiatives focused on member communications, claim payment… more
- Panasonic Avionics Corporation (Lake Forest, CA)
- **Overview** Manager , Site Quality **Responsibilities** Our new global headquarters is conveniently located in Irvine, CA near John Wayne Airport in the Park Place ... go to www.panasonic.aero/join-us/. **The Position:** JOB SUMMARY + The Site Quality Manager leads a team of Quality Engineers and Inspectors to ensure products… more
- Stanford Health Care (Palo Alto, CA)
- …the choice of three generous health plans through Stanford Health Care Alliance, Aetna , or Kaiser Permanente. Each plan includes 100% coverage for preventive care, ... & Neck Oncology, and Endocrine Oncology. **A Brief Overview** The Patient Care Manager is a Registered Nurse who provides unit leadership and works in partnership… more
- CVS Health (Scottsdale, AZ)
- …of periodic financial reporting used internally and externally by collaborating with Business Unit controllers and other Aetna counterparts to obtain and ... CVS Health offers an exciting opportunity to join our team as Senior Manager , Financial Reporting & Analysis within HCB Controllership. This role will lead the… more
- CVS Health (Hartford, CT)
- …and a workforce of over 300,000 purpose-driven professionals. We are seeking a ** Manager - Aetna Claim Adjudication System (ACAS) Contract Pricing SME** to ... validate pricing logic, interpret contract terms, and coordinate reviews with Business Implementation & Readiness (BIR) teams. The ideal candidate will possess… more
- North Carolina Agriculture & Technical State Unive (Greensboro, NC)
- Description: The Operations Manager provides strategic oversight of departmental operations in the Department of Animal Sciences, supporting teaching, research, and ... effective asset management, space and facilities planning, and regulatory compliance , while serving as a key advisor to the...in master's degrees in Engineering, and no. 11 best business school for women in the nation. Nationally recognized… more
- CVS Health (St. Paul, MN)
- …stop loss carriers to expedite urgent or special issues. * Fosters environment of compliance per Aetna requirements. * Functions as back-up to staff and peers ... Join Meritain, a subsidiary of CVS Health as the Manager of Stop Loss/Reinsurance Operations. In this high impact...* Oversees the daily workflow and priorities to ensure business objectives are maintained. * Maintains monthly reporting statistics… more
- CVS Health (Oklahoma City, OK)
- …compassionate. And we do it all with heart, each and every day. CVS Aetna takes a team-based approach to providing outstanding patient care. Transitional Care ... Manager is an integral part of the team. The...platform. + Adhere to CMS, state specific and NCQA compliance criteria as related to Transitions of Care. +… more
- CVS Health (Trenton, NJ)
- …Bergen County, NJ. (50-mile radius from applicants' home) **Schedule:** Standard business hours Monday-Friday 8:00am-5:00pm EST. **Position Summary** The ICM Case ... Manager develops a proactive plan of care to address...enhance a member's overall wellness. **Our Mission** Join our Aetna team as an industry leader in serving dual… more
- CVS Health (Detroit, MI)
- …And we do it all with heart, each and every day. **Position Summary** **Case Manager RN** WFH Flexible This role will be 25-50%% travel within **Wayne or Macomb ... patient care to a whole new level! Schedule: Standard business hours - 8:00AM-5:00PM, no night, weekend or holiday...hour work week after completion of training.** Join our Aetna team as an industry leader in serving dual… more
- Panasonic Avionics Corporation (Irvine, CA)
- …delivery of software releases. + Implements controls and checkpoints that align with business and compliance requirements. + Champions the adoption of modern QA ... **Overview** Manager , Software Quality Assurance **Responsibilities** Our new global...initiatives to ensure customer audit readiness and maintains ongoing compliance with relevant standards and regulations. + Partners with… more
- CVS Health (Sterling Heights, MI)
- …within Southeast Michigan (Wayne and Macomb Counties). + **Schedule:** Standard business hours Monday-Friday 8:00am-5:00pm EST, no night, weekends, or holiday ... medical needs of the member to facilitate the member's overall wellness. Join our Aetna team as an industry leader in serving dual eligible populations by utilizing… more
- CVS Health (Springfield, IL)
- …with 50-75% travel within southside of Chicago. **Schedule:** Standard business hours Monday-Friday 8:00am-5:00pm CST. **Position Summary/** **Program Overview** ... patient care to a whole new level! Join our Aetna team as an industry leader in serving dual...tools and information/data. + Utilizes case management processes in compliance with regulatory and company policies and procedures. +… more