- CVS Health (Springfield, IL)
- …convenient and more compassionate. And we do it all with heart, each and every day. Aetna Better Health is Aetna 's Medicaid managed care plan. Backed by over 30 ... need it is essential to better health. That's why Aetna (R) Medicaid plans include the guidance and support needed...CVS assets to bring accessible healthcare to our members. ** Aetna Better Health of Illinois (ABHIL)** is seeking an… more
- CVS Health (Springfield, IL)
- …experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit ( Aetna SIU), dedicated to a specific self-funded plan sponsor. In this role, ... + Certified Professional Coder (CPC), AHFI, CFE + Knowledge of CVS/ Aetna 's policies and procedures + Understanding of self-funded insurance plan operations… more
- CVS Health (Springfield, IL)
- …company clinical and payment policies to determine the impact of the scheme on Aetna business. + Keep current with new and emerging fraud, waste, and abuse schemes ... Excel. **Preferred Qualifications** + Certified Professional Coder + Knowledge of CVS/ Aetna 's policies and procedures + Excellent verbal and written communication… more
- CVS Health (Springfield, IL)
- …and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA) - Knowledge of Aetna 's policies and procedures - Ability to interact with different groups of people ... at different levels and provide assistance on a timely basis. **Education** - Bachelor's degree and/or an Associate's degree with three additional years working in health care fraud, waste, and abuse investigations and audits. **Anticipated Weekly Hours** 40… more
- CVS Health (Northbrook, IL)
- …day. **Position Summary** This role will report to the Executive Director, Aetna FP&A and will be responsible for management process, Investor Relations support, ... and competitor/industry insights for the Aetna business. As Senior Manager, this position will collaborate across a wide variety of constituents including business… more
- CVS Health (Fieldon, IL)
- …for the client. + Manages the integration of client's and Aetna 's internal organizations and partners cross-functionally to complete sales, installation, servicing, ... a keen understanding of clients' multifaceted needs and benefits utilizing Aetna 's full product array (eg, fully vs. self-insured, product combinations and/or… more
- CVS Health (Buffalo Grove, IL)
- …the Architecture community to drive modernization opportunities for the advancement of Aetna technology while keeping in mind the complexities of our IT landscape. ... guidance to Application Development, Infrastructure and EA to develop/assemble Aetna -applicable reference architectures for cloud-native applications to be applied… more
- CVS Health (Buffalo Grove, IL)
- …the Architecture community to drive modernization opportunities for the advancement of Aetna technology while keeping in mind the complexities of our IT landscape. ... profile identification:** Leverage technical expertise and domain knowledge to identify Aetna apps targeted for refactor and optimization for cloud. + **Proof… more
- CVS Health (Chicago, IL)
- …individual in this role will serve as the subject matter expert for Aetna 's Medicare Advantage Special Needs Plans (SNP) business. Includes Dual Eligible, HIDE/FIDE ... population presents a huge growth opportunity for Medicare Advantage plans, and Aetna is aggressively expanding into this market. This position provides an ambitious… more
- CVS Health (Springfield, IL)
- …financial strategy with intentional financial recommendations based on an understanding how Aetna is being evaluated. + Finalist Meeting execution with ability to ... illustrating a keen understanding of clients' multifaceted needs and benefits utilizing Aetna 's full product array. + Manages and builds producer relations as needed… more