- CVS Health (Raleigh, NC)
- …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 (Raleigh, NC)
- …compliance, financial viability, performance, and alignment to organizational goals. The Senior Manager will also develop and implement standardized processes ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- CVS Health (Raleigh, NC)
- …and development needs. + Assess training needs and collaborate with the SIU Sr. Manager to create development plans for team members. + Develop and maintain strong ... with contractual requirements. + Coordinate and collaborate with compliance and senior leadership to align on program integrity initiatives. + Contribute to… more
- CVS Health (Raleigh, NC)
- …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 (Raleigh, NC)
- …Join Aetna /CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level reviews ... value-based contract relationships in support of business strategies. * Represent Aetna with high visibility constituents, including customers and community groups.… more
- CVS Health (Cary, NC)
- …candidates located in North Carolina for this role **The Public & Labor Senior Manager of Account Management provides strategic sales leadership to cultivate ... client timely. + Articulate service offerings of the client's medical benefits with an in depth understanding of ...events throughout the state of NC to represent the Aetna Account Team and further strengthen relationships with key… more
- CVS Health (Cary, NC)
- …and contract outliers, drive for improvement in costs to better position Aetna in the marketplace. + Review and interpretmedical transparency data; summarize and ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more