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Aetna Inc
- Aliso Viejo, CA
Operating with a balance of internal and external facing activities that support a shift to a higher touch, patient centric focus, the Medical Director will develop, implement, support, and promote population health strategies, tactics, policies, and programs that drive the delivery of high value healthcare to establish a sustainable competitive business advantage for Aetna. These strategies, poli
Posted 2 days ago
Aetna Inc
- Phoenix, AZ / Los Angeles, CA / San Francisco, CA / 3 more...
Sales representative selling dental, vision, and voluntary through insurance brokers and consultants. Sales rep will market through brokers to employers 100 5000 lives Fundamental Components Sales for dental, vision, and voluntary in the Denver West (Denver, Phoenix, LA, San Francisco, Houston, Dallas, and Seattle) market. Focus on Public & Labor groups from 100 to 5,000 lives. Develops and cultiv
Posted 7 days ago
POSITION SUMMARY" Develops strong external and internal relationships to achieve customer satisfaction, revenue, membership and earnings objectives for existing customers in assigned business segments, products and geographies. Fundamental Components Develops a mutually rewarding working relationship with various client contacts to ensure renewal of case and retention. Follows through on outstandi
Posted 8 days ago
Aetna Inc
- Carefree, AZ / Phoenix, AZ / Tucson, AZ / 8 more...
The Workers Comp Telephonic Case Manager works with the employees, providers, employers, claims examiners and vendors to coordinate medical care and facilitate the timely return to work with an injured worker. You will telephonically manage cases for injured workers, making sure they attend appointments, following up on resources needed and documenting. You will make a direct impact on the members
Posted 8 days ago
Aetna Inc
- Aliso Viejo, CA / Campbell, CA / Carlsbad, CA / 31 more...
This position is for a Utilization Management Clinician residing in and licensed in the state of California. That individual will perform utilization management, precert as well as concurrent review within the Autism Care team for members receiving Applied Behavior Analysis treatment/services. Fundamental Components Applies critical thinking and is knowledgeable of evidence based treatment and cli
Posted 10 days ago
Provides proactive account management, development of strong relationships and execution of strategic initiatives for existing large group customers in assigned business segments, products and geographies. Fundamental Components Develops and executes customer service strategy. Works in collaboration with account management team and customer to discuss service levels and expectations; share process
Posted 11 days ago
Aetna Inc
- Aliso Viejo, CA / Woodland Hills, CA
As a Dental Network Representative with Aetna, you will perform intake triage and respond to Dental Network inquiries including but not limited to Provider requests (e.g., policy and procedures, credentialing status, claims status, provider compensation, directories, etc.) Internal customer requests Member requests Additionally, you will provide ongoing support to department members in completing
Posted 16 days ago
This is an onsite position for an Associate Client Service Manager in Long Beach, CA. The primary function for this role will be supporting the customer and account teams related to implementation, plan administration, wellness coordination, open enrollment activities, benefit fairs, member education, research and escalated issues for Long Beach USD. Fundamental Components Supports sales team to a
Posted 16 days ago
Aetna Inc
- Hartford, CT / Phoenix, AZ / Los Angeles, CA / 12 more...
The Clinical Pharmacy Manager Scoreable Action Item (SAI) Lead position is responsible for strategy, development, and leadership of strategic pharmacy utilization initiatives. This position designs new or modifies existing operation systems and processes used to most effectively evaluate and make recommendations on the utilization management, quality, and risk in pharmaceutical elements of multipl
Posted 16 days ago
This is a full time Work At Home opportunity with 75% local daily travel in the field. Candidates should reside in the Inland Empire or High Desert Area! You will be on the road 75% of your week! This does provide some flexibility! This role as a Field Case manager is a high initiative, challenging position that utilizes critical thinking and effective communication skills while working with injur
Posted 17 days ago
Aetna Inc
- Hartford, CT / Phoenix, AZ / San Francisco, CA / 10 more...
The main goal of this role is to help design technical solutions leveraging Salesforce capabilities that will deliver accelerated value towards achieving strategic business goals with clear focus on success metrics and ROI. This role reports into the Salesforce Center of Excellence Director. The ideal candidate is a change agent with consulting experience who will work with key business area stake
Posted 29 days ago
Aetna Inc
- Hartford, CT / Phoenix, AZ / San Francisco, CA / 10 more...
The main goal of this role is to help design and implement the key technical components of the small to large program solutions and helps direct Aetna technical resources to develop and deliver the project deliverables. The technical lead reduces the overall project technical risk by uncovering design issues early in the project life cycle, shares implementation best practices, and recommends solu
Posted 29 days ago
Aetna Inc
- Hartford, CT / San Francisco, CA / Santa Ana, CA / 9 more...
Create and perform assessments of Salesforce development processes and procedures to ensure that industry standards are being adopted and followed during the design and build phases. Fundamental Components Responsibilities Create Salesforce development processes and procedures to ensure that industry standards are being adopted and followed during the design and build phases Perform assessments of
Posted 1 month ago
Aetna Inc
- Hartford, CT / Phoenix, AZ / San Francisco, CA / 10 more...
The Senior Salesforce Certified Developer position will be responsible for the overall, design, implementation and support of solutions in the Salesforce.com environment. This requires the ability to develop and support applications using Sales Cloud, Service Cloud, Apex, Visual Force, and the Force.com platform. The Senior Salesforce Certified Developer develops, configures, codes, tests, and deb
Posted 1 month ago
Manage overall sales support process for all health, specialty health, group insurance and ancillary products for new and existing business in concert with field sales/service and/or customer teams in support of Health key performance measures. Fundamental Components Qualifying Requests Reviews incoming requests (new/growth RFPs/RFIs and proactive quotes) for strategic and capabilities match Preli
Posted 2 months ago
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