- CVS Health (Tampa, FL)
- …day. **Position Summary** This Bilingual Case Management Coordinator position is with Aetna 's Long-Term Services and Supports (LTSS) team and is a field-based ... position out of Hillsborough County and surrounding areas in FL. The requirements is for candidates to live in Tampa Florida, and to travel 50-75% of the time to meet with members face to face. We are seeking self-motivated, energetic, detail oriented, highly… more
- CVS Health (Tallahassee, FL)
- …only) **Position Summary** American Health Holding, Inc. (AHH), a division of Aetna /CVS Health, is a URAC-accredited medical management organization founded in 1993. ... We provide flexible, cost-effective care management solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. **Key Responsibilities** + Apply critical thinking… more
- Stanley Martin Homes (Leesburg, FL)
- …For Me:** + Access to competitively priced, high-quality health care options through Aetna , and EyeMed, along with employer-paid ST and LT disability, basic life and ... AD&D insurance (including employee-paid life, Legal Resources, and Aflac supplemental options) + Plan for the future by investing in a 401(K), with up to $5K employer match, invest even more with our Health Savings Account (HSA) + Put your family first with… more
- Stanley Martin Homes (Winter Haven, FL)
- …For Me:** + Access to competitively priced, high-quality health care options through Aetna , and EyeMed, along with employer-paid ST and LT disability, basic life and ... AD&D insurance (including employee-paid life, Legal Resources, and Aflac supplemental options) + Plan for the future by investing in a 401(K), with up to $5K employer match, invest even more with our Health Savings Account (HSA) + Put your family first with… more
- CVS Health (Tallahassee, FL)
- …Health within the Business Analysis Team. We are an independent subsidiary of Aetna and CVS, and one of the nation's largest employee benefits administrators. We ... have the resources of a national carrier coupled with the unique flexibility and devoted service of a third-party administrator (TPA). The Meritain Health Business Analysis Team supports the attainment of organizational goals through the issuance of… more
- CVS Health (Tallahassee, FL)
- …turnaround times. -Ability to make appropriate decisions based upon Aetna 's current policies/guidelines. -Collaborative working relationships. -Thorough knowledge of ... member and/or provider appeals, complaints and grievance policies. -Strong analytical skills focusing on accuracy and attention to detail. -Knowledge of clinical terminology, regulatory and accreditation requirements. -Excellent verbal and written… more
- CVS Health (Miramar, FL)
- …$3,000 New Hire Bonus!** This Bilingual Analyst, Case Management position is with Aetna 's Long-Term Services and Supports (LTSS) team and is a field-based position ... out of North Miami, Miramar, Aventura, Hialeah, or Flagler FL. The requirements is for candidates to travel 50-75% of the time to meet with members face to face. Schedule is Monday-Friday, 8:00am-5:00pm, standard business hours. We are seeking self-motivated,… more
- Stanley Martin Homes (Orlando, FL)
- …For Me:** + Access to competitively priced, high-quality health care options through Aetna , and EyeMed, along with employer-paid ST and LT disability, basic life and ... AD&D insurance (including employee-paid life, Legal Resources, and Aflac supplemental options) + Plan for the future by investing in a 401(K), with up to $5K employer match, invest even more with our Health Savings Account (HSA) + Put your family first with… more
- CVS Health (Tallahassee, FL)
- …Help us elevate our member care to a whole new level! Join our Aetna Team as an industry leader in serving dual eligible populations by utilizing best-in-class ... operating and clinical models. You can have life-changing impact on our members, who are enrolled in Care Management and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate… more
- CVS Health (Tallahassee, FL)
- …"fix" tickets to either the First Health load team or to payors, such as Aetna . + Work with internal teams and attend meetings to review status and questions ... regarding repricing projects or system data. + First Health system review to determine network data accuracy and par vs non-par status of providers. + Help internal and external customers with correct processes for escalations, questions, fixes, and general… more