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CVS Health
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Columbus, Ohio
...
child-serving systems.
Assessment of Members:
Through the use of clinical tools and ... Appropriateness and Quality of Care:
Application and/or interpretation criteria and clinical guidelines
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CVS Health
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Columbus, Ohio
...
is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and ... resides in North Carolina and have a NC License without encumbrances.**
In the Medical Director
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CVS Health
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Columbus, Ohio
...
.
-Utilizes Aetna systems to build, research and enter member information, as needed.
-Support the ... delivery under the direction of nurse or medical director in the most appropriate setting at the most
...
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CVS Health
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Columbus, Ohio
...
, services and/or programs
Identifies opportunities to promote quality effectiveness of Healthcare ... .
Typical office working environment with productivity and quality expectations.
Work requires the
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CVS Health
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Columbus, Ohio
...
.
This position promotes/supports quality effectiveness of healthcare services. This is a telework ... Programs.
Utilizes Aetna systems to build, research and enter member information, as needed
...
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CVS Health
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New Albany, Ohio
...
.
Position Summary
The Director of Outreach and Engagement is responsible for the oversight and ... benefits of the program.
As the Outreach and Engagement Director you will report directly to the CEO
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CVS Health
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Columbus, Ohio
...
quality of care issues through established channels
Ability to speak to medical and behavioral health ... to meet the member's goals.
Utilizes case management and quality management processes in
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CVS Health
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Columbus, Ohio
...
claim rejections while maintaining quality and productivity requirements.
To be successful in ... quality of work.
We offer instructor led training programs to set you up for success, in addition
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CVS Health
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Columbus, Ohio
...
health programs and services to its membership.
Aetna is looking for a medical director to be part ... medical director is a work-at-home position located anywhere in the US.
The Medical Director will
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CVS Health
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Columbus, Ohio
...
/services.
Enhancement of Medical Appropriateness and Quality of Care:
• Application and ... escalates quality of care issues through established channels
• Ability to speak to medical and
...
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CVS Health
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Columbus, Ohio
...
/services.
Enhancement of Medical Appropriateness and Quality of Care:
• Application and ... escalates quality of care issues through established channels
• Ability to speak to medical and
...
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CVS Health
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Columbus, Ohio
...
, tactics, policies, and programs that drive the delivery of quality healthcare to establish competitive ... utilization management, quality management, network management and clinical coverage and policies
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CVS Health
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Columbus, Ohio
...
systems) to establish, oversee, and maintain provider risk management and positive relationships and ... maintain the data quality during network development lifecycle.
Perform complex analysis on large data
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CVS Health
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Cincinnati, Ohio
...
dispensing services for various drug distribution systems to the centers. We are looking for someone who has ... and foster a culture of continuous improvement, quality, and service. The most successful pharmacists
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CVS Health
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Columbus, Ohio
...
quality and effective use of health care resources.
This is a remote based (work from home) role.
In this role has Medical Director (Behavioral Health) you will:
Provide comprehensive
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CVS Health
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Columbus, Ohio
...
.
Position Summary
Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director ... .
The Medical Director (Cardiology) will be a Subject Matter Expert (SME) with a background in
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CVS Health
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Columbus, Ohio
...
their clinical quality and effective use of health care resources.
This is a remote based (work at home) based anywhere in the US.
The Medical Director (Ortho/Total Joint) will be a
...
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CVS Health
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Columbus, Ohio
...
Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization ... Proficient use of equipment experience including phone, computer, etc and clinical documentation systems
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CVS Health
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Harrison, Ohio
...
quality of care issues through established channels.
• Utilizes negotiation skills to secure ... changes.
Efficient and Effective computer skills including navigating multiple systems and
...
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CVS Health
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Columbus, Ohio
...
Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization ... Proficient use of equipment experience including phone, computer, etc and clinical documentation systems
...
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CVS Health
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Maineville, Ohio
...
quality of care issues through established channels.
• Utilizes negotiation skills to secure ... changes.
Efficient and Effective computer skills including navigating multiple systems and
...
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CVS Health
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Blanchester, Ohio
...
quality of care issues through established channels.
• Utilizes negotiation skills to secure ... changes.
Efficient and Effective computer skills including navigating multiple systems and
...
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CVS Health
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Lebanon, Ohio
...
quality of care issues through established channels.
• Utilizes negotiation skills to secure ... changes.
Efficient and Effective computer skills including navigating multiple systems and
...
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CVS Health
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Amelia, Ohio
...
quality of care issues through established channels.
• Utilizes negotiation skills to secure ... changes.
Efficient and Effective computer skills including navigating multiple systems and
...
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CVS Health
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South Lebanon, Ohio
...
quality of care issues through established channels.
• Utilizes negotiation skills to secure ... changes.
Efficient and Effective computer skills including navigating multiple systems and
...
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CVS Health
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Mason, Ohio
...
quality of care issues through established channels.
• Utilizes negotiation skills to secure ... changes.
Efficient and Effective computer skills including navigating multiple systems and
...
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CVS Health
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Oxford, Ohio
...
quality of care issues through established channels.
• Utilizes negotiation skills to secure ... changes.
Efficient and Effective computer skills including navigating multiple systems and
...
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CVS Health
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Wilmington, Ohio
...
quality of care issues through established channels.
• Utilizes negotiation skills to secure ... changes.
Efficient and Effective computer skills including navigating multiple systems and
...
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CVS Health
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Middletown, Ohio
...
quality of care issues through established channels.
• Utilizes negotiation skills to secure ... changes.
Efficient and Effective computer skills including navigating multiple systems and
...
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CVS Health
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Cincinnati, Ohio
...
quality of care issues through established channels.
• Utilizes negotiation skills to secure ... changes.
Efficient and Effective computer skills including navigating multiple systems and
...
