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1 - 7 of 7 matches in 0.005 seconds
Utilization Management Nurse Consultant (JC146303881)
Last Updated: 2019-08-22
Employer: Aetna
Location: Newark, DE

Req ID: 63049BR

Job Description

Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Requires an RN with unrestricted active license.

Fundamental Components included but are not limited to:

Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor…

Clinical Program Consultant (CPC) (JC141720111)
Last Updated: 2019-08-22
Employer: Aetna
Location: Newark, DE

Req ID: 59874BR

Job Description

Excellent opportunity for experienced clinician with a passion for consulting to leverage clinical, analytic and consultative skills to join our team of Clinical Program Consultants (CPC) who offer clinical insights and solutions to help improve health plan performance for our group commercial plan…

Reimbursement/Configuration Analyst (JC144733345)
Last Updated: 2019-08-22
Employer: Aetna
Location: Newark, DE

Req ID: 62207BR

Job Description

Provides consultation on the design, testing and enhancement of information product including technical assistance and product development support to external and internal customers. Researches, manipulates and prepares complex data to document program activities and reports on its results. Provides oversight to data quality and provides…

Configuration Analyst (JC144819413)
Last Updated: 2019-08-22
Employer: Aetna
Location: Newark, DE

Req ID: 62265BR

Job Description

Provides consultation on the design, testing and enhancement of information product including technical assistance and product development support to external and internal customers. Researches, manipulates and prepares complex data to document program activities and reports on its results. Provides oversight to data quality and provides…

Manager, Plan Sponsor Support (JC145458120)
Last Updated: 2019-08-22
Employer: Aetna
Location: Newark, DE

Req ID: 62719BR

Job Description

Responsible for the oversight of Business Information Management unit administering the implementation, preparation, processing, and maintenance of enrollment files, Coordination of Benefits coverage, vendor extract files, vendor oversight, limited reporting requirements and Quality Assurance Program.

Fundamental Components included but are not limited to:

Manages cross-functional…

Manager, Plan Sponsor Support (PDN1422062557)
Last Updated: 2019-08-22
Employer: Aetna
Location: Newark, DE

Description: Responsible for the oversight of Business Information Management unit administering the implementation, preparation, processing, and maintenance of enrollment files, Coordination of Benefits coverage, vendor extract files, vendor oversight, limited reporting requirements and Quality Assurance Program.
62719 Fundamental Components: Manages cross-functional team of professionals overseeing business processes associated with eligibility/enrollment…

Utilization Management Nurse Consultant (PDN1764483224)
Last Updated: 2019-08-22
Employer: Aetna
Location: Newark, DE

Description: Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Requires an RN with unrestricted active license.
63049 Fundamental Components: 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…

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