- CVS Health (Wayne, NJ)
- …as opportunities to enhance a member's overall wellness. **Our Mission** Join our Aetna team as an industry leader in serving dual eligible populations by utilizing ... best-in-class operating and clinical models. You can have a life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent… more
- CVS Health (Trenton, NJ)
- …success of the overall care plan and reporting outcomes. **Our Mission** Join our Aetna team as an industry leader in serving dual eligible populations by utilizing ... best-in-class operating and clinical models. You can have a life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent… more
- Abbott (Plano, TX)
- …in navigating and** **utilizing** **various insurance payor portals** (eg, Aetna , Cigna, UnitedHealthcare, Blue Cross Blue Shield) + **Efficiently** **submits** ... **and manages precertification and prior authorization requests** + **Understands payer-specific requirements and documentation standards** + **Tracks and follows up on pending authorizations to ensure** **timely** **approvals** + **Able to troubleshoot portal… more
- Panasonic Avionics Corporation (Bothell, WA)
- …compensation for hours worked. + Health Insurance: Medical insurance offerings from Aetna and Kaiser (CA &HI). Options for Employee Only, Employee + Spouse/Domestic ... Partner, Employee + Children, or Family. Dental PPO and DMO options & Vision insurance through EyeMed or VSP. + 401K with 50% match on up to 8% contribution, full vested from day 1. + Washington residents only are eligible for: Washington's Family and Medical… more
- Securitas Security Services USA, Inc. (Middleton, MA)
- …punctual, and professional **ENHANCED BENEFITS:** + Medical Insurance (Anthem), Dental Insurance ( Aetna ) & Vision Insurance (VSP) + 401k with Employer Matching + ... Paid Life Insurance + Paid Time Off + Paid Uniforms + Paid Training Upon Hire and Throughout Career + Specialized Programs to Assist in Healthy Lifestyle and Financial Wellness + Employee Assistance Programs (EAP) + Employee Discount Programs (Vehicles, Cell… more
- CVS Health (Hartford, CT)
- …provide insights and model solutions to stakeholders across the CVS Health & Aetna organizations. Our team routinely utilizes petabytes of data paired with extensive ... industry knowledge of actuarial partners to develop best-in-class machine learning models. As we expand our team to tackle new and diverse use cases, you can help us overcome new challenges & build new solutions using innovative machine learning techniques. If… more
- Panasonic Avionics Corporation (Bothell, WA)
- …compensation for hours worked. + Health Insurance: Medical insurance offerings from Aetna and Kaiser (CA &HI). Options for Employee Only, Employee + Spouse/Domestic ... Partner, Employee + Children, or Family. Dental PPO and DMO options & Vision insurance through EyeMed or VSP. + 401K with 50% match on up to 8% contribution, full vested from day 1. + Washington residents only are eligible for: Washington's Family and Medical… more
- North Carolina Agriculture & Technical State Unive (Greensboro, NC)
- …Accrued Vacation and Sick Leave for Eligible Employees + Community Service Leave + Aetna - State Health Benefits of North Carolina + NCFlex - Vision, Dental, ... Flexible Spending Account, Life Insurance and more + 12 Paid Holidays + Teachers and State Employees Retirement System ( TSERS ) + Optional Supplemental Plans - 401k, 403b, 457b and 457 + Employee Assistance Program ( EAP ) + Campus Recreation Center Discount… more
- CVS Health (Downers Grove, IL)
- …contract requirements to develop recommendations, direction, and escalation ensuring Aetna 's that implementation and integration of program requirements complies ... with federal and state specific program requirements and the CVS Code of Conduct + Maintain in-depth working knowledge and expertise in Medicare, Medicaid and State requirements, regulations and contracts with a focus on supporting special needs plans +… more
- CVS Health (Hartford, CT)
- …managing quality assurance or testing teams. + 5+ years in commercial Aetna Claim Adjudication System (ACAS) contract testing, claims adjudication systems, or ... related functions. + 5 + years proven track record in governance, stakeholder management, and escalation handling. + 5 + years strong program and project management expertise, including integrated planning and risk management. Preferred Qualifications +… more