• Senior Manager, Audit and Business Oversight

    CVS Health (Springfield, IL)
    …Integrated Product Experience + Experience with Part D Coverage Determination, Appeals and Grievances and/or Formulary Administration regulatory requirements and ... within budgeted costs. **What you will do** + Acts as a top-level specialist on project management and develops a comprehensive plan that encompasses objectives,… more
    CVS Health (10/25/25)
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  • RN Care Coordinator - Inpatient Specialty Program…

    Cedars-Sinai (Beverly Hills, CA)
    …the payor + Investigates, processes and assists with the resolution of provider grievances and appeals in accordance with contractual requirements and corporate ... + Coordinates discharge planning and alternative treatment plans with PCP/hospitalist/ specialist as appropriate. + Coordinates the patient's care with other… more
    Cedars-Sinai (10/30/25)
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