- CVS Health (Atlanta, GA)
- …strategic initiatives, along with a team of medical coders/nurses supporting Aetna 's Special Investigations Unit. Key Responsibilities: + Leadership: Leads a team ... distribution and exposure to wide range of reviews. Assist with business opportunities aligned to inventory allocation and prioritization. + Quality Control… more
- CVS Health (Atlanta, GA)
- …Manage Third Party Risk Governance process for your assigned TPA(s). + Manage ongoing Aetna compliance review process for your assigned TPA(s). + Manage monthly ... manages competitive and complex contractual relationships with TPAs and/or business partners in Europe, APAC, Africa and Middle East...TPA networks are timely reviewed and uploaded on internal Aetna systems. + Ensure TPA guides, country guides and… more
- CVS Health (Atlanta, GA)
- …Summary** This Case Manager - Registered Nurse (RN) position is with Aetna 's National Medical Excellence (NME) team and is a fully remote position. Candidates ... both Case Management and Utilization Management. The RN Case Manager is responsible for telephonically and/or face to face...facilitates integrative functions as well as smooth transition to Aetna programs and plans. + Applies clinical judgment to… more
- Stanley Martin Homes (Sandy Springs, GA)
- …Largest Private Company in the Greater Washington area by the Washington Business Journal. This achievement highlights Stanley Martin's growth and success as well ... commitment to its team members and company culture. The Manager of Corporate Land Development's main goal is to...safety meetings and other training sessions. + Ensures Company compliance with all OSHA, DOT, SWPPP and any other… more
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