Talech Tier 2 Customer Care Representative - Aulla

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · Make outbound phone calls to members. · Locate resources to provide members with assistance for needs, such as food, utility, housing, and financ ...

We are seeking a Clinical Nurse Consultant to utilize clinical skills to coordinate and document all aspects of the utilization/benefit management program. · Applies critical thinking and knowledge in clinically appropriate treatment, evidence-based care, and medical necessity cr ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · 3+ years of experience in clinical practice. · RN (Registered Nurse) licensure in the state of Arizona or Compact RN licensure. · ...

Utilization Management Nurse Consultant Utilizes clinical experience and skills in a collaborative process to assess plan implement coordinate monitor and evaluate options to facilitate appropriate healthcare services/benefits for members Gathers clinical information and applies ...

We are building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming healthcare. · ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · As Clinical Claim Review Nurse you will be responsible for the review and evaluation of clinical information and documentation. · Reviews docume ...

Join us in shaping a more connected health experience. · We're building a world of health around every individual at CVS Health.,As a Clinical Claim Review Nurse you will be responsible for review and evaluation of clinical information. · ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · - Supports comprehensive coordination of medical services including intake, · screening,and referrals to Aetna Better Health. · - Promotes/suppor ...

This role is for the Meritain Health PBM Operations Team and is responsible for processing PBM vendor invoices and claims. · ...

The Adjudication Associate is responsible for the preparation and submission of claims for accounts to ensure timely reimbursements. · This person will communicate with the nursing facility staff, physician offices, and insurance companies to maintain payment deliverables for onl ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · The Implementation Specialist manages and coordinates benefit plan implementation for new and existing customers. · ...

The Implementation Specialist manages and coordinates benefit plan implementation for new and existing customers. · ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · 3+ years of experience in SQL for data extraction, manipulation and analysis. · Demonstrated proficiency in Microsoft Excel and Microsoft Office ...

The Pharmacy Benefit Management Client Experience Manager examines sales, account management and business retention metrics for products and services in order to support profitable growth and other business objectives. · ...

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. · Promotes/supports quality effectiveness of Healthcare Services. · Performs intake of calls from members o ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience at CVS Health. · Handles and processes Benefits claims submitted by healthcare providers. · Determines eligibility and coverage of benefits for each ...

Performs claim documentation review verifies policy coverage assesses claim validity and ensures accurate and timely claims processing Contributes to the efficient and accurate handling of medical claims for reimbursement through knowledge of medical coding and billing practices ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safe ...

We're looking for hands-on, passionate people who want to join our high energy team to make a difference in customers' lives. · Possess excellent communications skills with ability to communicate effectively in visual, verbal, and written form. · Have a good understanding of fram ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience at CVS Health. · Partner with multiple Product Owners and Product leadership team right from the ideation phase to mature the product concepts and h ...