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Found 2809 jobs

5days agod
Job DescriptionThe Quality Consultant position is responsible for auditing Case Installation work (Plan Coordination Consultants (PCC) and Claim Data Specialists (CDS) ensuring Plan Sponsor and medical benefit information is accurate. Throug* Posi...
CVS Health|Hartford, CT
12hours agoh
Job DescriptionThe Network Cost Management Strategic Consulting Manager will support Meritain Health’s Medical Cost Management Solutions team which is an integral component to delivering on the total cost of care. This role reports to the Head of ...
CVS Health|Hartford, CT
12hours agoh
Job DescriptionThe Aetna International Eligibility Consultant (EC) is responsible for the performance of a variety of administrative activities throughout the lifecycle of an Aetna International customer. In addition, the EC’s are responsible for ...
CVS Health|Hartford, CT
12hours agoh
Job DescriptionSupport underwriting functions as directed by supervisor in support of strategic goals and key performance measures. Scope may include multiple products, markets, and financial arrangements. The work is task driven. Complexity of w...
5months agom
Job DescriptionThe Healthcare QM Consultant will be participate in the development and monitoring of provider engagement activities for the MMP/Duals population. This will include:Interact with providers to improve healthcare outcomes such as inc...
CVS Health|Hartford, CT
11days agod
Job DescriptionDesign, develop, contract, maintain and enhance relationships with Latin/South America facilities, physicians, ancillary providers and vendors which serve as contractual networks of care for members; foster growth of managed care pr...
CVS Health|Hartford, CT
12hours agoh
Job DescriptionAs a Lead Director Business Consultant, you are responsible for driving Public Sector K-12 and universities solution growth through active involvement with Public and Labor Segment (PLS) Field Sales and Service Teams, community-base...
4days agod
Job DescriptionThis position is work from home for any candidate in the EST / CST time zones.This position also includes a $1000 sign on bonus as well as an additional $2000 180 days after you start! The sign on and retention bonuses are not appli...
CVS Health|Hartford, CT
11days agod
Job Description-Monitor & manage the Initial ECS submission pipeline to ensure timely Underwriting approvals drive timely and accurate plan sponsor billing & accounting-Triage & Process Finalized ECS submissions in Access reporting dat...
CVS Health|Hartford, CT
12hours agoh
Job DescriptionResponsible for account service activities internal and external collaborated with the Account Management team for assigned constituents (producers, plan sponsors, customers).• Identifies constituent-specific service issues, identif...
12hours agoh
Job DescriptionThe Medicare Part C Claim Audit and Compliance Team works to ensure that Medicare Advantage claim processing is compliant with Centers for Medicare & Medicaid Services (CMS) requirements. Primary responsibilities include assessi...
CVS Health|Hartford, CT
1day agod
Job DescriptionCVS Health’s Internal Audit Department serves the Audit Committee and assists management in achieving goals by conducting independent and objective assurance and consulting activities. Your time with CVS Health’s Internal Audit qual...
CVS Health|Hartford, CT
1day agod
Job DescriptionThe Mental Well-being organization is searching for a Sr. Business Consultant to join the Strategy and Product organization to execute on key business transformation initiatives. As the Sr. Business consultant, you will develop, mo...
CVS Health|Hartford, CT
4months agom
Job DescriptionFortune 5 CVS Health has an exciting opportunity for an Internal Audit Manager to join our dynamic team. As the Internal Audit Manager, you will direct staff, under the supervision of Internal Audit Senior Manager / Director, to lea...
CVS Health|Hartford, CT
5days agod
Job DescriptionCVS Health Internal Audit Department provides high quality services to our internal business partners that consistently meet and exceed their expectations. We collaborate proactively with our business partners to focus on the most i...
CVS Health|Hartford, CT
6days agod
Job DescriptionThe Senior Strategy Consultant is responsible for the management of responses for complex proposals, questionnaires and surveys and resolving proposal issues through project management, research, data gathering, analysis, writing an...
8days agod
Job DescriptionAs the lead for the Medicare segment strategy function within Aetna, the role will be to design cross-functional strategies and strategic programs to address the future of both the Medicare segment and Aetna priorities. This work re...
CVS Health|Hartford, CT
4months agom
Job DescriptionAs the Executive Assistant (Human Resources) you will manage all administrative needs of HR executives and Senior leaders, including, email responses, meeting attendance and minute preparation, preparing PowerPoint presentations, co...
CVS Health|Hartford, CT
12hours agoh
Job DescriptionThis role directly supports Internal Audit’s goal of increasing the use of data analytics across the department. This role will be responsible for assisting in the development, implementation, and ongoing monitoring of the Internal ...
CVS Health|Hartford, CT
5days agod
Job DescriptionThis role directly supports Internal Audit’s goal of increasing the use of data analytics across the department. This role will be responsible for assisting in the development, implementation, and ongoing monitoring of the Internal ...