- CVS Health (Boston, MA)
- …all with heart, each and every day. **Position Summary:** As the Lead Director of Aetna Campaigns and Communications, you will partner with and report to the Head of ... Communications, Aetna . This is a visible role, spanning the clinical,...provider and broader operations team to shape a distinctive Aetna narrative and build holistic, multi-channel communications campaigns. The… more
- CVS Health (Boston, MA)
- …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 (Boston, MA)
- …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 (Boston, MA)
- …skills to the next level with a Fortune 5 company? Check out this opportunity with Aetna , a CVS Health company! This is a remote based work from home role. The ... Aetna One Advocate model provides the member with a powerful and proactive experience through high touch, personalized communications designed to help the member… more
- CVS Health (Boston, MA)
- …Field Services Advocate is empowered to serve as a bridge between an Aetna National Accounts client's members, the customer Benefit Service Center, HR colleagues and ... wellness programs, tools, and resources, including those offered by Aetna as well as the client's other vendors. This...customer Benefit Service Center and Total Rewards team, and Aetna on ways to deliver the best member experience… more
- CVS Health (Boston, MA)
- …candidates residing in Florida or eastern time zone._ **POSITION SUMMARY** At Aetna Mental Well-Being we are leading the industry in transforming mental well-being ... We are seeking a highly motivated Account Management professional to support Aetna Mental Well-being and Resources for Living EAP product. The position requires… more
- CVS Health (Boston, MA)
- …an experienced and strategic leader to oversee Change and Release Management for the Aetna Line of Business (LOB). This role is pivotal in ensuring the delivery of ... and own the Change & Release Management and Governance processes for Aetna LOB. + Evaluate architectural solutions & system integrations to identify dependencies… more
- CVS Health (Boston, MA)
- …understandable way. + Send to EDI Consultants if issue requires more detailed Aetna system analysis or is not Portal-specific + Identify new/trending issues and ... share with manager for reporting purposes + Represent the Digital Portal during Aetna Immediate Response Team (IRT) issue calls + Act as liaison between the IRT and… more
- CVS Health (Boston, MA)
- …Utilization Management to develop and implement Prior Authorization Criteria specific to Aetna . **Cost of Care Initiatives** + Cross functional collaboration in the ... development, implementation, support, and tracking of Aetna Commercial pharmacy cost of care initiatives to meet financial goals. + ROI development with pharmacy… more
- CVS Health (Boston, MA)
- …And we do it all with heart, each and every day. **Position Summary** CVS Aetna has an opportunity available for a full time Customer Service Representative in the ... Customer Service Representative guides the member through their members plan of benefits, Aetna policy and procedures as well as having knowledge of resources to… more