- The Cigna Group (Bloomfield, CT)
- …The physician provides clinical insight to the organization through peer review, benefit review, consultation, and service to internal and external customers. He/she ... will serve as a clinical educator and consultant to utilization management, case management, network, contracting, pharmacy, and service operations (claims). This is… more
- CVS Health (Raymore, MO)
- …in new markets across the country. Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while ... Health Strategies, tactics, policies, and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return… more
- CVS Health (NY)
- …in new markets across the country. Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while ... Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return… more
- CVS Health (Chicago, IL)
- …models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social ... in new markets across the country. Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while… more
- CVS Health (St. Paul, MN)
- …the country. **Family Summary/Mission** Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits ... Health Strategies, tactics, policies, and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return… more
- Commonwealth of Pennsylvania (PA)
- …Home Headquartered Contact Name Bridget Hinkle Contact Email ###@pa.gov + Description + Benefits + Questions THE POSITION Utilize your experience in nursing to begin ... fulfill requirements for licensure, re-licensure, and certification under federal, state, or Medicare and Medicaid requirements. You will write reports on survey and… more
- Humana (Indianapolis, IN)
- …with the organization's strategy and long-term goals. + Serve as a consultant to application teams, guiding them in creating enterprise-grade applications that ... leadership and consulting. + Knowledge of healthcare business domains, including Medicare , Medicaid, Group, Specialty, etc. + **Development level knowledge utilizing… more
- BJC HealthCare (St. Louis, MO)
- …hospice. BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service ... organizations provide $785.9 million annually in community benefit . That includes $410.6 million in charity care and other financial assistance to patients to ensure… more
- CVS Health (OH)
- …chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative ... return to work or optimal functioning, and determination of eligibility for benefits as appropriate. + Communicates with member/client and other stakeholders as… more
- CVS Health (FL)
- …chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative ... return to work or optimal functioning, and determination of eligibility for benefits as appropriate. + Communicates with member/client and other stakeholders as… more