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ABX Lead Bus Consultant (Lean Six Sigma) POSITION SUMMARY Facilitates on the development of enterprise and business unit strategic project plans utilizing the Lean Six Sigma operating system across the organization. Consults with leaders toward the ...
Aetna
Fort Lauderdale United States
Aetna
Fort Lauderdale, Florida, United States
POSITION SUMMARY Facilitates on the development of enterprise and business unit strategic project plans utilizing the Lean Six Sigma operating system across the organization. Consults with leaders toward the ...
UM Nurse Consultant Req ID: 57263BR POSITION SUMMARY Fulltime telework opportunity for candidates across the country. Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management ...
Aetna
Syracuse United States
UM Nurse Consultant New Add to Favorites
Aetna
Syracuse, Kansas, United States
Req ID: 57263BR POSITION SUMMARY Fulltime telework opportunity for candidates across the country. Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management ...
Medical Economics Analyst Part-timePOSITION SUMMARY We are seeking an analytical professional to join our Medical Economics - Medical Expense Review (MER) team. The primary goals of this team are to develop, interpret and favorably impact local ...
Aetna
College Park United States
Medical Economics Analyst New Add to Favorites
Aetna
College Park, Georgia, United States
Part-timePOSITION SUMMARY We are seeking an analytical professional to join our Medical Economics - Medical Expense Review (MER) team. The primary goals of this team are to develop, interpret and favorably impact local ...
National Senior Account Manager Req ID: 56962BR POSITION SUMMARY **Qualified candidates will be in Texas** Develops service strategy to ensure renewal and growth of business and retention of members for assigned accounts. Fundamental Components: ...
Aetna
Corpus Christi United States
National Senior Account Manager New Add to Favorites
Aetna
Corpus Christi, Texas, United States
Req ID: 56962BR POSITION SUMMARY **Qualified candidates will be in Texas** Develops service strategy to ensure renewal and growth of business and retention of members for assigned accounts. Fundamental Components: ...
KS MCD Internal Provider Rep/N POSITION SUMMARY Design, develop, contract, maintain and enhance relationships with facilities, physicians and ancillary providers that serve as contractual networks of care for members; foster growth of managed care ...
Aetna
Overland Park United States
Aetna
Overland Park, Kansas, United States
POSITION SUMMARY Design, develop, contract, maintain and enhance relationships with facilities, physicians and ancillary providers that serve as contractual networks of care for members; foster growth of managed care ...
Medicare Sales Representative Req ID: 54492BR POSITION SUMMARY Responsible for the sales and retention of Aetna Medicare Advantage products. Generate new sales through community development and direct marketing of groups and individuals. Fundamental ...
Aetna
Louisville United States
Medicare Sales Representative New Add to Favorites
Aetna
Louisville, Kentucky, United States
Req ID: 54492BR POSITION SUMMARY Responsible for the sales and retention of Aetna Medicare Advantage products. Generate new sales through community development and direct marketing of groups and individuals. Fundamental ...
Supervisor, Service Operations (57444BR) POSITION SUMMARY Responsible for the quality, efficiency and effectiveness of own team, identifying and resolving routine problems. Sets priorities for and coaches employees to meet goals. Fundamental Components: ...
Aetna
Houston United States
Aetna
Houston, Texas, United States
POSITION SUMMARY Responsible for the quality, efficiency and effectiveness of own team, identifying and resolving routine problems. Sets priorities for and coaches employees to meet goals. Fundamental Components: ...
Case Management Coordinator Please note, this is an in office position in Princeton, NJ POSITION SUMMARY Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare ...
Aetna
Princeton United States
Case Management Coordinator Add to Favorites
Aetna
Princeton, New Jersey, United States
Please note, this is an in office position in Princeton, NJ POSITION SUMMARY Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare ...
Care Management Associate POSITION SUMMARY Support comprehensive coordination of MLTSS services including Initial Outreach. Assist MLTSS members, providers and care managers with coordination of care. - 611 Fundamental Components: Promotes ...
Aetna
Princeton United States
Care Management Associate New Add to Favorites
Aetna
Princeton, New Jersey, United States
POSITION SUMMARY Support comprehensive coordination of MLTSS services including Initial Outreach. Assist MLTSS members, providers and care managers with coordination of care. - 611 Fundamental Components: Promotes ...
Claim Benefit Specialist POSITION SUMMARY Claims Benefit Specialist for the Medicaid team is a processor based role handling adjudication of Medicaid claims. Processor is responsible for interactions with Desktop policies, and processing of ...
Aetna
Phoenix United States
Claim Benefit Specialist New Add to Favorites
Aetna
Phoenix, Arizona, United States
POSITION SUMMARY Claims Benefit Specialist for the Medicaid team is a processor based role handling adjudication of Medicaid claims. Processor is responsible for interactions with Desktop policies, and processing of ...
Outreach Coordinator, HEDIS Position Summary: Performs provider and member outreach, data analysis, medical record abstraction and data entry to support continuous quality improvement in Healthcare Effectiveness Data and Information Set (HEDIS) ...
Aetna
Columbia United States
Outreach Coordinator, HEDIS New Add to Favorites
Aetna
Columbia, South Carolina, United States
Position Summary: Performs provider and member outreach, data analysis, medical record abstraction and data entry to support continuous quality improvement in Healthcare Effectiveness Data and Information Set (HEDIS) ...
Workers Compensation RN Field Case Manager RN Looking for RNs in Modesto, CA!JOIN OUR GROWING TEAMAre you tired of bedside nursing?Are you looking to get away from 12-hour hospital shifts while continuing to utilize your RN expertise to impact the lives of patients ...
Aetna
Irvine United States
Aetna
Irvine, California, United States
Looking for RNs in Modesto, CA!JOIN OUR GROWING TEAMAre you tired of bedside nursing?Are you looking to get away from 12-hour hospital shifts while continuing to utilize your RN expertise to impact the lives of patients ...
Claim Benefit Specialist POSITION SUMMARY Reviews and adjudicates routine Medicare claims on HRP system in accordance with claim processing guidelines. Claims adjudication results should meet/exceed production and quality standards in line with ...
Aetna
Houston United States
Claim Benefit Specialist New Add to Favorites
Aetna
Houston, Texas, United States
POSITION SUMMARY Reviews and adjudicates routine Medicare claims on HRP system in accordance with claim processing guidelines. Claims adjudication results should meet/exceed production and quality standards in line with ...
Account Manager POSITION SUMMARY This position will act as the primary operational and internal point of contact for our national clients and advocacy partners. The position has a high emphasis on issue resolution and claim and plan ...
Aetna
Plymouth United States
Account Manager New Add to Favorites
Aetna
Plymouth, Minnesota, United States
POSITION SUMMARY This position will act as the primary operational and internal point of contact for our national clients and advocacy partners. The position has a high emphasis on issue resolution and claim and plan ...
KS MCD Member Services Reps POSITION SUMMARY Were looking for people who are passionate about providing exceptional customer service and would like to be part of our member services team that supports the needs and care of our members. The Member ...
Aetna
Overland Park United States
KS MCD Member Services Reps Add to Favorites
Aetna
Overland Park, Kansas, United States
POSITION SUMMARY Were looking for people who are passionate about providing exceptional customer service and would like to be part of our member services team that supports the needs and care of our members. The Member ...
Claim Benefit Specialist POSITION SUMMARY Reviews and adjudicates routine claims in accordance with claim processing guidelines. Critical success factors - Ability to work independently - Ability to think logically and problem solve - Strong ...
Aetna
Fresno United States
Claim Benefit Specialist New Add to Favorites
Aetna
Fresno, California, United States
POSITION SUMMARY Reviews and adjudicates routine claims in accordance with claim processing guidelines. Critical success factors - Ability to work independently - Ability to think logically and problem solve - Strong ...
Customer Service Representative POSITION SUMMARY Customer Service Representative is the face of Aetna and impacts members' service experience by manner of how customer service inquiries and problems via telephone, internet or written correspondence ...
Aetna
Bismarck United States
Customer Service Representative New Add to Favorites
Aetna
Bismarck, North Dakota, United States
POSITION SUMMARY Customer Service Representative is the face of Aetna and impacts members' service experience by manner of how customer service inquiries and problems via telephone, internet or written correspondence ...
Financial Reporting & Analysis Consultant POSITION SUMMARY Provide support for Aetna Financial Systems including training/guidance, system issue resolution and managing interfaces. - Perform monthly close activities to ensure internal financial information is ...
Aetna
Hartford United States
Aetna
Hartford, Connecticut, United States
POSITION SUMMARY Provide support for Aetna Financial Systems including training/guidance, system issue resolution and managing interfaces. - Perform monthly close activities to ensure internal financial information is ...
Provider Network Engagement Manager (Maryland's Eastern Shor... ContractPOSITION SUMMARY This position is responsible for managing an effective relationship with providers in the Aetna Better Health of Maryland Provider Network on Maryland's Eastern Shore. This is a remote work ...
Aetna
Baltimore United States
Aetna
Baltimore, Maryland, United States
ContractPOSITION SUMMARY This position is responsible for managing an effective relationship with providers in the Aetna Better Health of Maryland Provider Network on Maryland's Eastern Shore. This is a remote work ...
Customer Service Rep POSITION SUMMARY Handles customer service inquiries and problems via telephone, internet or written correspondence. Customer inquiries are of basic and routine nature. Fundamental Components: Answers questions and ...
Aetna
Dallas United States
Customer Service Rep Add to Favorites
Aetna
Dallas, Texas, United States
POSITION SUMMARY Handles customer service inquiries and problems via telephone, internet or written correspondence. Customer inquiries are of basic and routine nature. Fundamental Components: Answers questions and ...
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