• Senior Special Investigations Coding…

    CVS Health (Jefferson City, MO)
    …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 (05/24/25)
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  • Senior Network Vendor Manager

    CVS Health (Jefferson City, MO)
    …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 (05/16/25)
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