- CVS Health (Carson City, NV)
- …State Regulators. + Collaboration: Develops and maintains close working relationships with Aetna Medical Directors, Nurses, and other clinical staff who conduct ... professional to manage strategic initiatives, along with a team of medical coders/nurses supporting Aetna 's Special Investigations Unit. Key Responsibilities: +… more
- CVS Health (Carson City, NV)
- …Middle East excluding Americas region in support of international network, medical cost management and overall claim/customer service strategies. Provide concierge ... Third Party Risk Governance process for your assigned TPA(s). + Manage ongoing Aetna compliance review process for your assigned TPA(s). + Manage monthly billing /… more
- CVS Health (Carson City, NV)
- …**_**Strong preference for the candidate to sit in Utah or Nevada**_** The Senior Manager negotiates, executes, conducts high level review and analysis, dispute ... and exceeding accessibility, quality and financial goals and cost initiatives. The Senior Manager will be responsible for contracting and implementing fee… more
- CVS Health (Carson City, NV)
- …Duals Center of Excellence, clinical, compliance, analytics and network teams, the Senior Manager drives innovation and operational excellence to optimize member ... Leads the strategy, design, development and lifecycle management of Aetna 's integrated products (HIDE/FIDE) that serve Medicare Advantage populations, including… more