- Usaa (Lewiston, ME)
- …as business requires. Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and ... compliance policies and procedures. What you have: High School Diploma or General Equivalency Diploma (GED). 2+ years claims adjusting experience, or P&C SIU/Fraud Investigation experience OR 4+ years prior investigative law enforcement (to include military)… more
- USA Labor Services (Belgrade, ME)
- …Clerk - Clerks sell stamps, take incoming mail, sort and distribute the mail in addition to other clerical functions. This position also assists the public with ... POSTAL CLERK NO EXPERIENCE REQUIRED - PAID TRAINING PROVIDED - JOB SECURITY The Postal Service is the largest government related agency in terms of employees. The Postal Service currently employs nearly 1 million people and is hiring nationwide. There is NO… more
- Spurwink Services (Randolph, ME)
- …LCSW, LMSW-cc, LCPC, LCPC-c, LMFT, or LMFT-c. New grads encouraged to apply! The job requires the willingness and availability to work a flexible schedule including ... late afternoons or evenings. You'll provide counseling in families' homes, in an office-based setting and via telehealth. Mileage is reimbursed. This position provides an ideal learning opportunity for clinicians in a powerful, evidenced based model. You will… more
- Spurwink Services (Randolph, ME)
- …All applicants must possess a Master's Degree in Social Work or Counseling, and Maine Licensure (LMSW-cc, LCSW, LCPC-c, or LCPC). Fully licensed strongly preferred. ... BENEFITS MAY INCLUDE: + Flexibility of Schedules + Eligible Employer of the Public Service Loan Forgiveness (PSLF) Program that forgives the remaining balance on your Direct Loans after you have made 120 qualifying monthly payments under a qualifying repayment… more
- CVS Health (Augusta, ME)
- …The **Employee Assistance Program Worklife Customer Support Associate** position is fully remote, with the ability to work from anywhere in the continental United ... States. This is a call center role, operating 24 hours a day, 7 days a week. As a result, you will be expected to work on some holidays, and schedules may be adjusted based upon business need. We are looking for high-performing individuals to join our team.… more
- CVS Health (Augusta, ME)
- …The **Adjudication Associate (Omnicare)** is responsible for the preparation and submission of claims for accounts to ensure timely reimbursements. This person will ... communicate with the nursing facility staff, physician offices, and insurance companies to maintain payment deliverables for online claim submissions. **Responsibilities:** + Follows established procedures to execute routine business support tasks for the… more
- CVS Health (Augusta, ME)
- …Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. + Proven ability to… more
- CVS Health (Augusta, ME)
- …Transformative role for accounting professionals looking for growth and progression opportunities in a large public Company. This role provides exposure to a vast ... 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
- CVS Health (Augusta, ME)
- …The Pharmacy Program Manager is an individual contributor (non-people manager) role. This is a remote role requiring a HIPAA-compliant workspace and is open to ... qualified candidates within the United States. Usual working hours are 8:00am-5:00 pm or 9:00am-6:00 pm in the time zone of residence, per business needs. There are no weekends or corporate holidays expected with this role. Minimal travel (less than 10%) is… more
- CVS Health (Augusta, ME)
- …Working knowledge of problem solving and decision making skills. Working knowledge of medical terminology. Working knowledge of digital literacy skills. Ability to ... deal tactfully with customers and community. Ability to handle sensitive information ethically and responsibly. Ability to consider the relative costs and benefits of potential actions to choose the most appropriate option. Ability to function in clinical… more
- CVS Health (Augusta, ME)
- …**This is a remote work from home role anywhere in the US with virtual training.** American Health Holding, Inc (AHH) is a medical management company that is a ... 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
- CVS Health (Augusta, ME)
- …Performs hands-on operational support including driving process improvements, ensuring compliance and quality assurance, conducting data analysis and reporting, ... participating in training and education initiatives, fostering collaboration and communication among interdisciplinary teams, and contributing to project management. Works to optimize clinical operations, enhance efficiency and compliance, and support the… more
- Veterans Affairs, Veterans Health Administration (Togus, ME)
- …This Outpatient Staff Registered Nurse- GI Clinic position is in the Nursing service at the VA Maine Healthcare System, located at the Togus location. This position ... Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment.… more
- CVS Health (Augusta, ME)
- …The **Utilization Management Clinical Nurse Consultant - Prior Authorization** utilizes clinical skills to coordinate, document, and communicate all aspects of the ... utilization/benefit management program. **Job Duties include (but are not limited to):** + Applies critical thinking and knowledge in clinically appropriate treatment, evidence-based care, and medical necessity criteria for appropriate utilization of services.… more
- CVS Health (Augusta, ME)
- …Include: + Defining specifications and documentation for rating methodology changes + Testing and sign-off for ERNIE system enhancements + Creating exhibits to ... demonstrate rating method results for regulatory/underwriting inquiries + Investigating historical pricing practices across national commercial large group business + Assessing claim impact of benefit relativity changes Technical Responsibilities Include: +… more
- CVS Health (Augusta, ME)
- …Defines operational activities and executes on strategic direction related to Cyber Resiliency for CVS Health's Digital, Data, Analytics & Technology (DDAT) ... Cybersecurity GRC team, guiding colleagues in facilitating cyber resiliency activities across the enterprise. Manages, develops and implements procedures, controls, and reporting to ensure compliance with NIST Cyber resiliency frameworks. Consults on efforts… more
- CVS Health (Augusta, ME)
- …+ 7+ Years of Asset Management Experience - Subject Matter Expert of Hardware Asset Management Practices. + 5+ years of experience working with internal and/or ... 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
- CVS Health (Augusta, ME)
- …We're seeking a Data Engineer to design and implement data pipelines that power analytical capabilities. This hands-on role requires an understanding of data ... 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
- MaineGeneral Health (Gardiner, ME)
- …is seeking a Certified Residential Medication Aide (CRMA) to join our team at the Alzheimer's Care Center in Gardiner. The Alzheimer's Care Center is a specialized ... assisted living home dedicated to supporting individuals living with memory impairment. Located in a peaceful, wooded setting on a quiet, tree-lined street, the Center offers a calm, supportive environment where residents receive compassionate, person-centered… more
- CVS Health (Augusta, ME)
- …Aetna, a CVS Health company, is the nation's premier health innovation company helping people on their path to better health. We are building a new health care model ... that is easier to use, less expensive, and puts the consumer at the center of their care. Aetna's Medicare Stars Team is growing and expanding! This is exciting opportunity to join a high performing, collaborative team as a Data Scientist. This individual will… more
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Major Cities:
Auburn,
Augusta,
Bangor,
Biddeford,
Lewiston,
Portland,
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