- CVS Health (Columbus, OH)
- …all with heart, each and every day. **Position Summary** As the Manger of Business Compliance of Quality Review, Training, and Program Integrity, you will lead ... development of team members, managing quality review processes, and ensuring compliance with state regulations and contractual requirements. _Flexible on location… more
- CVS Health (Columbus, OH)
- …And we do it all with heart, each and every day. **Position Summary** The Aetna Pharmacy Health Plan Compliance team is seeking an experienced professional with ... pharmacy programs and benefit plans, to identify and track business and compliance risks and issues and...to become compliant. Our team collaborates with both the Aetna Health Plan business teams and with… more
- CVS Health (Columbus, OH)
- …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 (Delaware, OH)
- …more compassionate. And we do it all with heart, each and every day. This Case Manager , Registered Nurse position is with My Care of Ohio team and is a field-based ... coordinate the care of your members. + Nurse 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
- CVS Health (Cincinnati, OH)
- …compassionate. And we do it all with heart, each and every day. This Clinical Case Manager , Behavioral Health position is with My Care of Ohio and is a field based ... as you coordinate the care of your members. Case Manager BH is responsible for telephonically and/or face to...facilitates integrative functions as well as smooth transition to Aetna programs and plans. Applies clinical judgment to the… more
- CVS Health (Oregon, OH)
- …flexibility as you coordinate the care of your members. Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing ... plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. - Applies clinical judgment to the incorporation of… more
- CVS Health (Oregon, OH)
- …day. **Position Summary** _- Must reside in_ **_Ohio_** The Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, ... eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. Applies clinical judgment to the incorporation of… more
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