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1 - 10 of 12 matches in 0.006 seconds
Medical Director (JC148099864)
Last Updated: 2019-09-20
Employer: Aetna
Location: Wilmington, DE

Req ID: 64444BR

Job Description

Position Summary:

The Medical Director will provide oversight for medical policy implementation. Participate in the development, implementation, and evaluation of clinical/medical programs.

Work At Home position after initial training.Central Time Zone or Eastern Time Zone Preferred.

Key Responsibilities:

Expands Aetna’s medical management programs to address…

Sr Clinical Solutions MD (JC144399532)
Last Updated: 2019-09-20
Employer: Aetna
Location: Wilmington, DE

Req ID: 59872BR

Job Description

POSITION SUMMARY

The Plan Sponsor Insights management team is looking for a Senior Clinical Solutions Medical Director with a passion for being consultative with extensive clinical and consultative experience and business sense to support Aetna’s group commercial business. This leader will join a dynamic and…

Medical Director (JC146586235)
Last Updated: 2019-09-20
Employer: Aetna
Location: Wilmington, DE

Req ID: 59902BR

Job Description

Provide oversight for medical policy implementation. Participate in the development, implementation, and evaluation of clinical/medical programs.

Fundamental Components included but are not limited to:

Expands Aetna’s medical management programs to address member needs across the continuum of care Supports the Medical Management staff ensuring timely…

Medical Director (National Accounts) (JC145559664)
Last Updated: 2019-09-20
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…

Chief Medical Officer (Aetna Better Health of PA) (JC144501527)
Last Updated: 2019-09-20
Employer: Aetna
Location: Wilmington, DE

Req ID: 61814BR

Job Description

POSITION SUMMARY

The Sr. Director Clinical Solutions MD (CMO) for Aetna Better Health of Pennsylvania will lead the Medical Management Department of a PA Medicaid MCO. As the Chief Medical Officer you are a member health plan leadership team and responsible for…

Medical Director (Medical Policy & Operations) (JC147107863)
Last Updated: 2019-09-20
Employer: Aetna
Location: Wilmington, DE

Req ID: 63778BR

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…

Eligibility Consultant - Paper (JC147431897)
Last Updated: 2019-09-20
Employer: Aetna
Location: Newark, DE

Req ID: 63548BR

Job Description

Under general supervision, verifies enrollment status, makes changes to member/client records, and addresses a variety of enrollment questions or concerns. Maintains enrollment databases and coordinates transfer of non-electronic eligibility data.

Fundamental Components included but are not limited to:

+ Responds, researches, and resolves eligibility and/or…

Utilization Management Nurse Consultant (JC147941899)
Last Updated: 2019-09-20
Employer: Aetna
Location: Newark, DE

Req ID: 64301BR

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…

Medical Director (National Accounts) (JC144445156)
Last Updated: 2019-09-20
Employer: Aetna
Location: Wilmington, DE

Req ID: 61795BR

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…

Medical Director (JC146586255)
Last Updated: 2019-09-20
Employer: Aetna
Location: Newark, DE

Req ID: 59902BR

Job Description

Provide oversight for medical policy implementation. Participate in the development, implementation, and evaluation of clinical/medical programs.

Fundamental Components included but are not limited to:

Expands Aetna’s medical management programs to address member needs across the continuum of care Supports the Medical Management staff ensuring timely…

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