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Senior Analytic Consultant
Summary
CVS Health is seeking a Senior Analytic Consultant for a fully remote position. The role involves analyzing issues related to appeals, performing root cause analysis, and identifying corrective actions. The candidate should have advanced knowledge of Medicare appeals process, 7+ years of experience ...
Medical Director - Regulated Medicare Appeals
Summary
CVS Health, a Fortune 6 company, is seeking a Medical Director for a remote role. The position focuses on Regulated Medicare Appeals, including part C appeals, and requires direct support to appeal nurses, pharmacists, and Quality Review nurses. The role involves IRE monitoring, Utilization Manageme...
Case Manager RN
Summary
CVS Health is seeking a full-time remote Case Manager RN. The role involves developing a proactive course of action to enhance member outcomes, applying clinical judgment, and utilizing case management processes. Required qualifications include an active RN license, 3+ years of acute hospital experi...
Lead Director, Product Mgt. & Development - Pharmacist
Summary
CVS Health is seeking a professional with over 10 years of experience in Managed Care & Medicare to lead product management and development. The role involves creating a comprehensive strategy, conducting market research, managing product development, and communicating with cross-functional teams. T...
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