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2days agod
Job DescriptionCome and join the HEDIS Medicaid Data and Reporting Team.- Works collaboratively with internal/external business partners.- This position provides analytic and reporting support to the HEDIS Data team. -Oversees and or assists with ...
8days agod
Job DescriptionIn support of the Medicaid Encounter Department, candidate must be SQL power user, able to review results, conduct root cause analysis, identify next steps and put them into action. Candidate should have the ability to move multiple...
7days agod
Job DescriptionAetna, a CVS Health company has an outstanding opportunity for a Medical Director. Ready to take your career to the next level with a Fortune 4 company? This is a remote Work at Home position and can be located anywhere in the Unite...
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1day agod
Job DescriptionCVS Health is looking for experienced Claims Processors to join our fast-paced Claims Department. As a Claims Processor, you will be responsible for accurate and efficient adjudication of paper claims from electronic image in a prod...
5days agod
Job DescriptionAre you interested in a flexible WORK FROM HOME schedule? An opportunity where you can balance priorities in and outside of work while helping people on their path to better health? If so, consider a role at CVS Health, a Fortune 5...
2days agod
Job DescriptionReviews, analyzes, evaluates, validates provider/producer information against business/credentialing requirements and maintains information in Credentialing data bases. Supports extensive research and analysis of sensitive provider...
1day agod
Job DescriptionThe Medicaid PDS team is hiring a PDS Informatics analyst with experience in the Medicaid QNXT environments, who will be tasked with UAT testing needs for existing business deployments in QNXT as well as UAT testing required for our...
6days agod
Job DescriptionThe Senior Coordinator - I-9/Talent Acquisition Operations is responsible for supporting CVS Health’s Human Resources Talent Acquisition operations and service delivery. On a daily basis, you will review all applicable reports and ...
1day agod
Job DescriptionThe Senior Project Manager will align to Medicaid Service Operations and will support our Member and Provider Call Center teams through project leadership of Medicaid SO technology initiatives. The Senior PM will be responsible for ...
6days agod
Job DescriptionResponsible for leading and planning infrastructure initiatives consisting of one or more support teams. Ensures the completion of the infrastructure related implementations within budgetary and scheduling guidelines. Assists in the...
2weeks agow
Job DescriptionParticipate in the development, project management, execution and communication of primary and secondary market research, and business and competitive intelligence insights. Collaborate and consult with others at Aetna, including in...
1day agod
Job DescriptionProvide the Billing Operations Department with accurate Cash Control reconciliation ensuring payment posting system and bank statements align. Ensures collected reconciled dollars are allocated accordingly. Monitors live checks and ...
5days agod
Job DescriptionResponsibilities include: - Manage Shared Services Financials (Monthly Close Accounting / Budgeting / Forecasting / Vendor Mgmt) - Manage Allocation Updates for Close / Budget - FTE Management (tracking, forecasting, req approvals...
1day agod
Job DescriptionThe Client Solutions Director is a role that is responsible for providing management oversight to a team of Account Executives and Account Managers. The segment the leader will be responsible for the 1-99 and 100-299 lives within th...
1day agod
Job DescriptionMaintains the Provider Data (demographic and contractual) for all network and non-network providers. Ensures all provider information is accurately recorded and maintained to provide for proper reimbursement and member access (i.e.,...
2days agod
Job DescriptionMaintains the Provider Data (demographic and contractual) for all network and non-network providers. Ensures all provider information is accurately recorded and maintained to provide for proper reimbursement and member access (i.e.,...
2days agod
Job DescriptionThe Mercy Care Operations Provider Data Management team is hiring a Provider Data Services Consultant with experience in the Medicaid QNXT environments, who will be tasked with defining business needs to successfully prioritize and ...
1day agod
Job DescriptionOversees the implementation of information strategy and development of information products to ensure operational objectives and other strategic business initiatives are met.Required QualificationsOversees and or assists project tea...
1day agod
Job DescriptionThis is a Representative II position within the Essential Health plan testing department. This individual will support testing and work with our internal customers along with other job duties as required. This Representative II will...
1day agod
Job DescriptionSupport comprehensive coordination of medical services including Care Team intake, screening and supporting the implementation of care plans to promote effective utilization of healthcare services. Promotes/supports quality effectiv...