- 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 (Sacramento, CA)
- …heart, each and every day. **Job Summary** The Senior Manager , Network Compliance is responsible for managing business projects and programs, including all ... aspects of reporting, analysis, and compliance related to network filings to California regulators. In...reside in California but not required + Experience with Aetna systems, EPDB and/or SmartFront End preferred + Intermediate… 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 (Detroit, 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 Flexible **Position Summary** Help us elevate...This is a work from home position. Schedule: Standard business hours - 8:00AM-5:00PM, no night, weekend or holiday… more
- CVS Health (Austin, TX)
- …we do it all with heart, each and every day. **Position Summary:** This Case Manager RN position is with Aetna 's National Medical Excellence (NME) team and is ... both Case Management and Utilization Management. The RN Case Manager is responsible for telephonically and/or face to face...facilitates integrative functions as well as smooth transition to Aetna programs and plans. - Applies clinical judgment to… more
- Panasonic Avionics Corporation (Irvine, CA)
- …**Responsibilities** **The Position:** The Program Manager III manages large Airline accounts ... focal point for the total program success. + Maintain compliance with departmental operating procedures. + Develop and maintain...correspondence. + Assist Marketing in the pursuit of new business . + Lead the program team by conducting regular… more
- Stanley Martin Homes (Orlando, FL)
- …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 (Indianapolis, IN)
- …will also identify opportunities for process improvement and ensure reporting accuracy and compliance with business requirements. You will accomplish this by: + ... heart, each and every day. **Position Summary** As a Manager , Healthcare Data and Analytics (IC), you will be...+ Testing and researching data to ensure completeness and compliance with business policies. Your success will… more
- CVS Health (Columbus, OH)
- …compassionate. And we do it all with heart, each and every day. **This Case Manager RN position is 100% remote and the employee can live in any state.** **Normal ... residence with an occasional late shift rotation per the needs of the business 10:30am-7pm EST (1-2 times per quarter).** Typical training hours are Monday-Friday… 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 (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
- CVS Health (Wall, NJ)
- …Monmouth 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
- CVS Health (Dearborn, 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 (Carson City, NV)
- …Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class ... new markets across the country. **Position Summary** The Associate Manager , Clinical Health Service will oversee the implementation of...+ May act as a liaison with other key business areas. + May develop/assist in development and/review new… more
- CVS Health (Skokie, IL)
- …or near: Northside Chicago, Niles, Skokie, Des Plaines. **Schedule:** Standard business hours Monday-Friday 8:00am-5:00pm CST. **Position Summary** Our Case Managers ... 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
- CVS Health (Lansing, MI)
- …Kalamazoo, Calhoun, Branch, St Joseph, Cass, and Berrien Counties).** Schedule: Standard business hours - 8:00AM-5:00PM, no night, weekend or holiday shifts! **There ... patient care to a whole new level! Join our Aetna team as an industry leader in serving dual...interdisciplinary case conferences + Utilizes case management processes in compliance with regulatory and company policies and procedures. +… more
- CVS Health (Springfield, VA)
- …live in Reston - Fairfax County or Surrounding Areas. Monday-Friday Standard Business Hours. **Roles and Responsibilities** Nurse Case Manager is responsible ... eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. Applies clinical judgment to the incorporation of… more
- CVS Health (Hartford, CT)
- …is uniquely connected, convenient, and compassionate. We are seeking a **Senior Manager , Commercial Contract Testing** to join our Testing Center of Excellence ... with organizational goals and quality standards. + **Governance & Compliance :** Establish and maintain governance frameworks for testing processes, ensuring… more