• Medical Director - Medicaid (IL)

    CVS Health (Springfield, IL)
    …skills to the next level with a Fortune 6 company? Checkout this opportunity with Aetna , a CVS Health company! Aetna operates Medicaid Managed Care Plans in ... This is a regional role that primarily supports the Aetna Better Health Plan of Illinois. This UM (Utilization...be a "Work from Home" position primarily supporting the Aetna Illinois Medicaid plan and the UM team; but… more
    CVS Health (08/08/25)
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  • Voluntary Business Cross Sell Optimizer

    CVS Health (Springfield, IL)
    …profitability by expanding penetration of existing products and cross/up-selling other Aetna products. Meets with Account Executives regularly to identify growth ... and provide subject matter expertise. . Updates external/internal constituents on Aetna capabilities to create business opportunities and/or enhance the perception… more
    CVS Health (07/02/25)
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  • Senior Manager - Agile Practice Management

    CVS Health (Springfield, IL)
    …do it all with heart, each and every day. **Position Overview** The CVS Health Aetna Enterprise Delivery team is looking for an innovative thought partner who has a ... exposure to cross-functional leaders and colleagues across CVS Health and Aetna , as well as professional development opportunities. Assignments are highly complex,… more
    CVS Health (08/15/25)
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  • Mgr, Client Service Mgt

    CVS Health (Springfield, IL)
    …it all with heart, each and every day. **Mission:** To manage and maximize Aetna sales, service and retention efforts for all Consumer Fund Services or New Product ... achieve disciplined and profitable growth in alignment with National and Middle Market Aetna business goals. This will be achieved through the development of strong… more
    CVS Health (08/13/25)
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  • Hybrid Field Sales Manager

    CVS Health (Chicago, IL)
    …and more compassionate. And we do it all with heart, each and every day. Aetna , CVS Health is looking for top sales leadership talent! We have an exciting work ... KPIs. + Develops, executes, and communicates market strategies aligned with CVS Health/ Aetna objectives to achieve profitable growth + Continued oversight of day to… more
    CVS Health (08/10/25)
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  • Provider Data Service Senior Coordinator - NEF…

    CVS Health (Springfield, IL)
    …every day. **NEF Team Role and Responsibilities:** + Handles escalations submitted by Aetna Network Account Management team or the Aetna Provider Contact Center. ... Concerns submitted vary- Claim inquiries, Retro contract loads/pricing concerns, EDI transmissions, Delayed payments, etc. + Must be able to use all Meritain applications to review and respond effectively to the submitted inquiry. + Ability to effectively… more
    CVS Health (08/10/25)
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  • Clinical Counselor - Employee Assistance Program…

    CVS Health (Springfield, IL)
    …from home anywhere in the USA. The shift is Wednesday-Saturday 11:45pm-10:15am EST. Aetna Mental Well-being is reimagining how mental health is delivered with a ... Resources for Living. The Clinical Counselor plays a vital role in Aetna Mental Wellbeing's commitment to delivering timely, high-quality mental health care. This… more
    CVS Health (08/09/25)
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  • Actuary - Medicare Advantage

    CVS Health (Chicago, IL)
    …:** Join a high-performing actuarial team supporting CVS Health and Aetna 's Government Services Medicare Advantage business. The primary responsibility of this ... and analytic work in support of a department mission to protect Aetna 's financial integrity, collaborate with business partners to provide sound risk management… more
    CVS Health (07/30/25)
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  • Case Manager Behavioral Health - Field - Must…

    CVS Health (Rantoul, IL)
    …each and every day. **Position Summary** This Case Management BH position is with Aetna 's Long Term Services & Supports (LTSS) team and is a field-based position out ... plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. - Applies clinical judgment to the incorporation of… more
    CVS Health (07/22/25)
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  • Senior Manager, Network Management, National…

    CVS Health (Springfield, IL)
    …Summary** Do you want to make a large impact in your next role? Join Aetna /CVS Health, a Fortune 4 company, as the Network Management Senior Manager. In this role, ... value-based contract relationships in support of business strategies. * Represent Aetna with high visibility constituents, including customers and community groups.… more
    CVS Health (07/19/25)
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