- CVS Health (Trenton, NJ)
- …And we do it all with heart, each and every day. **Position Summary** At Aetna , our health benefits business , we are committed to helping our members achieve ... care landscape in new and exciting ways every day. Aetna is recruiting for an AVP, General Manager...cost structure and local execution of medical costs management, compliance , and revenue integrity efforts for all Medicare Advantage… more
- CVS Health (Trenton, NJ)
- …seeking 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 ... assessment, business impact analysis, and executive-level reporting. + Represent Aetna LOB in Change Advisory Board (CAB) meetings; validate enterprise changes,… more
- CVS Health (Trenton, NJ)
- …stop loss carriers to expedite urgent or special issues. * Fosters environment of compliance per Aetna requirements. * Functions as back-up to staff and peers ... Join Meritain, a subsidiary of CVS Health as the Manager of Stop Loss/Reinsurance Operations. In this high impact...* Oversees the daily workflow and priorities to ensure business objectives are maintained. * Maintains monthly reporting statistics… more
- CVS Health (Trenton, NJ)
- …Bergen County, NJ. (50-mile radius from applicants' home) **Schedule:** Standard business hours Monday-Friday 8:00am-5:00pm EST. **Position Summary** The ICM Case ... Manager develops a proactive plan of care to address...enhance a member's overall wellness. **Our Mission** Join our Aetna team as an industry leader in serving dual… more
- CVS Health (Trenton, NJ)
- …every day. **A Brief Overview** Contributes to the product portfolio for Aetna Dental and conducting market analysis and driving new product development. Provides ... cross-functional collaboration. Drives innovation, evaluates performance, and ensures regulatory compliance , playing a pivotal role in guiding the organization's… more
- CVS Health (Trenton, NJ)
- …each and every day. **Position Summary** + The Medicaid VBS Network State Manager manages and oversees compliance with our Network responsibilities as provided ... Aligning negotiation tactics with goals encompassing network accessibility, quality, compliance and financial performance. + Works with Practice Transformation Team,… more
- CVS Health (Trenton, NJ)
- …Monmouth, Middlesex, Ocean, Burlington , New Jersey. **Schedule:** Standard business hours Monday-Friday 8:00am-5:00pm EST. **Position Summary** The Social Worker ... the care planning process in collaboration with the Care Manager , to include the following actions: assessment, goal setting,...care plan and reporting outcomes. **Our Mission** Join our Aetna team as an industry leader in serving dual… more