• Quality Reviewer (Aetna SIU)

    CVS Health (Nashville, TN)
    …of three years of Medicaid Fraud, Waste, and Abuse review experience. + Billing and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA). + Knowledge of ... in researching information and identifying relevant resources. + Knowledge of CPT/HCPCS/ICD coding . **Education** + A Bachelors degree or three years of experience… more
    CVS Health (08/08/25)
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  • Negotiator Analyst (Level I)

    CVS Health (Nashville, TN)
    …phone call handling history. + Strong mathematical skills. **Preferred Qualifications** + Coding experience, CMS, and/or CPC Certification. + Strong verbal and ... Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning… more
    CVS Health (08/02/25)
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  • Manager, Special Investigation

    CVS Health (Nashville, TN)
    …Ohio, New York, and Oklahoma** + Experience with Interpreting Contracts + Billing and Coding certifications such as CPC (AAPC) + Knowledge of Aetna's policies ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
    CVS Health (08/01/25)
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