- CVS Health (Nashville, TN)
- …Summary** : Sales Executives are professionals who help us build our Aetna 's Specialty Division business via the broker distribution channels for Dental/Vision ... 2-100 employees). Their goal is to understand and meet customer needs using Aetna 's and CVS' combined products and services. This position is eligible to participate… more
- CVS Health (Chicago, IL)
- …**Position Summary** We are seeking a highly motivated, strategic, and versatile Aetna Technology Strategy & Operations Leader to drive alignment across technology, ... core consulting-type skillsets. As a key member of the Aetna Chief Digital & Technology Office, you will report...you will report directly to the Executive Director of Aetna Technology Strategy & Operations. In this role you… more
- CVS Health (Bismarck, ND)
- …experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit ( Aetna SIU), dedicated to a specific self-funded plan sponsor. In this role, ... + Certified Professional Coder (CPC), AHFI, CFE + Knowledge of CVS/ Aetna 's policies and procedures + Understanding of self-funded insurance plan operations… more
- CVS Health (Sacramento, CA)
- …company clinical and payment policies to determine the impact of the scheme on Aetna business. + Keep current with new and emerging fraud, waste, and abuse schemes ... Excel. **Preferred Qualifications** + Certified Professional Coder + Knowledge of CVS/ Aetna 's policies and procedures + Excellent verbal and written communication… more
- CVS Health (Morgantown, WV)
- …presentations to internal and external customers regarding healthcare fraud matters and Aetna 's approach to fighting fraud + Provides input regarding controls for ... from the National Health Care Anti-Fraud Association (AHFI) + Knowledge of Aetna 's policies and procedures. + Knowledge and understanding of complex clinical issues.… more
- CVS Health (Des Moines, IA)
- …do it all with heart, each and every day. **Position Summary:** **The Aetna Duals Center of Excellence (COE) operates Duals Integrated Plans: Ohio, Illinois, ... a variety of physical and behavioral health programs and services to its membership. Aetna is looking for a medical director to be part of a centralized team… more
- CVS Health (Phoenix, AZ)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** Aetna , a CVS Health Company, is one of the oldest and largest national insurers. ... quality and fraud waste and abuse review for individual cases for members across Aetna . This role is fully remote. Eligible candidates must be licensed in Arizona… more
- CVS Health (Boston, MA)
- …skills to the next level with a Fortune 5 company? Check out this opportunity with Aetna , a CVS Health company! This is a remote based work from home role. The ... Aetna One Advocate model provides the member with a powerful and proactive experience through high touch, personalized communications designed to help the member… more
- CVS Health (Tallahassee, FL)
- …presentations to internal and external customers regarding healthcare fraud matters and Aetna 's approach to fighting fraud. - Provides input regarding controls for ... monitoring fraud related issues within the business units. - Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse **Required Qualifications** 1 year experience working on… more
- CVS Health (New York, NY)
- …execution, and governance of Generative Artificial Intelligence technologies within the Aetna Marketing organization. This role will drive the adoption of ... responsible AI practices, oversee the implementation of innovative AI solutions, and ensure alignment with business priorities across marketing, operations, and technology teams. The Lead Director will manage a small team that champions ethical, high-impact AI… more
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