- CVS Health (Trenton, NJ)
- …all with heart, each and every day. **Position Summary** As the Manger of Business Compliance of Quality Review, Training, and Program Integrity, you will lead ... development of team members, managing quality review processes, and ensuring compliance with state regulations and contractual requirements. _Flexible on location… more
- CVS Health (Trenton, NJ)
- …And we do it all with heart, each and every day. **Position Summary** The Aetna Pharmacy Health Plan Compliance team is seeking an experienced professional with ... pharmacy programs and benefit plans, to identify and track business and compliance risks and issues and...to become compliant. Our team collaborates with both the Aetna Health Plan business teams and with… more
- CVS Health (New York, NY)
- …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 (Trenton, NJ)
- …Manage Third Party Risk Governance process for your assigned TPA(s). + Manage ongoing Aetna compliance review process for your assigned TPA(s). + Manage monthly ... manages competitive and complex contractual relationships with TPAs and/or business partners in Europe, APAC, Africa and Middle East...TPA networks are timely reviewed and uploaded on internal Aetna systems. + Ensure TPA guides, country guides and… more
- CVS Health (Trenton, NJ)
- …more compassionate. And we do it all with heart, each and every day. This Case Manager , Registered Nurse position is with Aetna Assure Premium Plus - New Jersey ... patient care to a whole new level! Join our Aetna team as an industry leader in serving dual...to facilitate the member's overall wellness. The ICM care manager develops a proactive plan of care to address… more