- CVS Health (Tallahassee, FL)
- …and more compassionate. And we do it all with heart, each and every day. Aetna 's Revenue Integrity team is hiring Senior Coding Data Quality Auditors to support our ... growing risk adjustment efforts. This role plays a critical part in ensuring coding accuracy and data integrity, directly impacting compliance and financial performance. Ideal candidates will bring a strong understanding of coding standards and auditing… more
- CVS Health (Jacksonville, FL)
- …heart, each and every day. **Position Summary** This position supports to Aetna growth initiatives in Network through data analytics, file preparation, and provider ... roster loads to support business functions including Request for Proposal (RFP) submissions. Primary responsibilities are QuickBase development/maintenance, translation of business requirements into actionable reports and ensuring data accuracy. Other key… more
- CVS Health (Hollywood, FL)
- …we do it all with heart, each and every day. **Program Overview** Join our Aetna team as we lead the way in providing exceptional care to dual eligible populations! ... This role involves 50-75% travel. You will have a life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in both Medicare and Medicaid and face a variety of complex health and social challenges. Through compassionate… more
- CVS Health (Tallahassee, FL)
- …Holding, Inc (AHH) is a medical management company that is a division within Aetna /CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease ... Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and… more
- CVS Health (Tallahassee, FL)
- …Health Partner Innovation Strategy will report to strategy & product within Aetna 's Mental Well-being organization. They will be responsible for coordinating across ... various functional partners to support the strategy and execution of new and existing strategic partnerships. This includes supporting the development of partnership strategy and evaluation of new partnership opportunities to align with strategic initiatives.… more
- CVS Health (Tallahassee, FL)
- …to sit in EST or CST Contributes to the product portfolio for Aetna Dental and conducting market analysis and driving new product development. Provides expertise ... and thought leadership, contributing to strategic planning, market research, and cross-functional collaboration. Drives innovation, evaluates performance, and ensures regulatory compliance, playing a pivotal role in guiding the organization's growth and… more
- CVS Health (Inverness, FL)
- …New Hire Bonus!** This Clinical Case Manager Behavioral Health position is with Aetna 's Long-Term Services and Supports (LTSS) team and is a field-based position out ... of DuPage County IL or Surrounding Areas, preferably Schaumburg, Hoffman Estates, Palatine, Inverness, Rolling Meadows, Elk Grove Village, Roselle, Hanover Park, or Streamwood. The requirements is for candidates to hold a Behavioral Health License… more
- CVS Health (Tallahassee, FL)
- …standards, normative comparisons with industry peers, best practice research and Aetna specific business and technology requirements. Helping define, drive and ... deliver all aspects of the data science product lifecycle, from requirements gathering, education, and strategy, to study design, solution architecting, programming, testing, implementation, delivery, and iteration of data science analytics products.… more
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