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CVS Health
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Columbus, Ohio
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and external constituents in the coordination and administration of the utilization/benefit management
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CVS Health
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Columbus, Ohio
...
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Senior Manager, Pharmacy – Pharmaceutical Strategic Business Insights
Position Summary
The Senior Manager of Strategic Business Insights will assess and optimize financial performance of
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CVS Health
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Columbus, Ohio
...
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Leads the administration of all medical management activities of the aligned Plans.
Plays a ... Director will be responsible for provider education regarding best clinical practices, utilization
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CVS Health
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Columbus, Ohio
...
and behavioral healthcare through assessment and care planning, direct provider coordination ... appropriate administration of benefits
• Using holistic approach consults with supervisors, Medical
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CVS Health
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Columbus, Ohio
...
and behavioral healthcare through assessment and care planning, direct provider coordination ... appropriate administration of benefits
• Using holistic approach consults with supervisors, Medical
...
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CVS Health
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Columbus, Ohio
...
, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to ... administration of benefits.
Using holistic approach consults with supervisors, Medical Directors and/or
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CVS Health
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Columbus, Ohio
...
resolution of claims payment issues.
-Supports the administration of the hospital care, case
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CVS Health
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Columbus, Ohio
...
, technical support, install/group administration, and all other routine customer service inquiries. Delivers
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CVS Health
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Columbus, Ohio
...
experience in a managed care environment and health administration, including adequate clinical experience in ... , etc.).
Master’s Degree in Public Health Administration or MBA preferred, UM/QA certification
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CVS Health
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Columbus, Ohio
...
experience in a managed care environment and health administration, including adequate clinical experience in ... , etc.).
Master’s Degree in Public Health Administration or MBA preferred, UM/QA certification
...
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CVS Health
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Columbus, Ohio
...
managed care environment and health administration, including adequate clinical experience in direct ... .).
Master’s Degree in Public Health Administration or MBA preferred, UM/QA certification desired
...
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CVS Health
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Columbus, Ohio
...
Business Administration, Information Technology, or a related field or equivalent work experience
...
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CVS Health
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Columbus, Ohio
...
managed care environment and health administration, including adequate clinical experience in direct ... .).
Master’s Degree in Public Health Administration or MBA preferred, UM/QA certification desired
...
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CVS Health
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Columbus, Ohio
...
Business Administration, Information Technology, or a related field or equivalent work experience
...
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CVS Health
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Columbus, Ohio
...
.
The Quality Provider Liaison builds positive relationships between Aetna OhioRISE and its high-volume ... sharing provider performance metrics related to quality, clinical outcomes, coding, and utilization used
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