- CVS Health (Augusta, ME)
- …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 (Augusta, ME)
- …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 (Augusta, ME)
- …understanding the impacts of non standard benefits + Coordinate/handle ad hoc account manager (AM) request allowing the AM the ability to focus on developing ... plans, knowing when a benefit auto adjudicates) + Strong knowledge of Aetna Standards. **Education:** + Highschool Diploma or GED **Anticipated Weekly Hours** 40… more
- CVS Health (Augusta, ME)
- …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