- CVS Health (Pierre, SD)
- …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 (Pierre, SD)
- …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 (Pierre, SD)
- …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