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1 - 10 of 12 matches in 0.005 seconds
Coding Appeals Nurse Associate - LPN/LVN (JC149234422)
Last Updated: 2019-10-22
Employer: Aetna
Location: Wilmington, DE

Req ID: 64981BR

Job Description

Responsible for the review and resolution of clinical complaints and appeals. Interprets data obtained from clinical records to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and provider issues. Independently coordinates the clinical resolution with internal/external clinician support…

Clinical Learning Leader (JC149431765)
Last Updated: 2019-10-22
Employer: Aetna
Location: Wilmington, DE

Req ID: 65207BR

Job Description

This is a unique opportunity for a clinical educator to craft meaningful clinical professional development for Aetna clinicians within their work setting. This position will lead a team to develop an effective Clinical Education Program that addresses the needs of individual clinicians and the populations…

Utilization Management Nurse Consultant (JC149577119)
Last Updated: 2019-10-22
Employer: Aetna
Location: Newark, DE

Req ID: 65278BR

Job Description

This exciting role is WAH for anyone in EST, or in CST that is willing to work EST hours!

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…

Supervisor, Clinical Health Service (JC149664247)
Last Updated: 2019-10-22
Employer: Aetna
Location: Newark, DE

Req ID: 65277BR

Job Description

The Supervisor is responsible for oversight of healthcare management staff including the organization and development of high performing teams. Works closely with functional area managers to ensure consistency in clinical interventions supporting our members. Accountable for meeting the financial, operational and quality objectives of the…

Project Coordinator (JC149520168)
Last Updated: 2019-10-22
Employer: Aetna
Location: Newark, DE

Req ID: 64450BR

Job Description

Responsible for supporting the development, implementation and ongoing management of project(s).

Fundamental Components included but are not limited to:

+ Performs data collection, analytical research and root cause analysis.

+ Identifies issues that may stall project and addresses them.

+ Edits and maintains project-related materials.

Supervisor, Clinical Health Service (JC149664240)
Last Updated: 2019-10-22
Employer: Aetna
Location: Wilmington, DE

Req ID: 65277BR

Job Description

The Supervisor is responsible for oversight of healthcare management staff including the organization and development of high performing teams. Works closely with functional area managers to ensure consistency in clinical interventions supporting our members. Accountable for meeting the financial, operational and quality objectives of the…

Senior SAS / Informatics Programmer - 65027BR (JC149303104)
Last Updated: 2019-10-22
Employer: Aetna
Location: Newark, DE

Req ID: 65027BR

Job Description

The Senior SAS Programmer is responsible for the successful delivery of analyses and analytic solutions to meet business needs, interacting directly with internal and external clients and colleagues. Acts as the analytic team lead for complex projects involving multiple resources and tasks, providing individual mentoring…
Project Coordinator (PDN1068414781)
Last Updated: 2019-10-22
Employer: Aetna
Location: Newark, DE

Description: Responsible for supporting the development, implementation and ongoing management of project(s).
64450 Fundamental Components:
Performs data collection, analytical research and root cause analysis.
Identifies issues that may stall project and addresses them.
Edits and maintains project-related materials.
Tracks and monitors progress against timeline and key milestones, may also track…

Senior SAS / Informatics Programmer - 65027BR (PDN1693161242)
Last Updated: 2019-10-22
Employer: Aetna
Location: Newark, DE

Description: The Senior SAS Programmer is responsible for the successful delivery of analyses and analytic solutions to meet business needs, interacting directly with internal and external clients and colleagues. Acts as the analytic team lead for complex projects involving multiple resources and tasks, providing individual mentoring in support of company…

Utilization Management Nurse Consultant (PDN1491907630)
Last Updated: 2019-10-22
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.
64301 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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