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1 - 6 of 6 matches in 0.008 seconds
Medical Director (Medical Policy & Operations) (JC145015243)
Last Updated: 2019-08-22
Employer: Aetna
Location: Wilmington, DE

Req ID: 62411BR

Job Description

POSITION SUMMARY

The Medical Director MPO (Medical Policy & Operations) is responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery of high quality, constituent focused medical care with a focus clinical and payment policy. This Medical…

Medical Director (National Accounts) (JC145559664)
Last Updated: 2019-08-22
Employer: Aetna
Location: Wilmington, DE

Req ID: 62938BR

Job Description

Position Summary:

The Medical Director (MD) is responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery of high quality, constituent responsive medical care. The MD is a critical medical and business leader and contact for external…

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…

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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