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91 aetna jobs in Cary, NC

Medicare Risk Adjustment Nurse

Aetna Morrisville, NC

Develops and maintains physician office relationships to ensure access and open lines of communication. Reviews medical records for primary care and… CareerBuilder

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Account Manager

Aetna Cary, NC

Responsible for managing new and existing relationships for Self funded clients and brokers. Evaluate plan costs, provide analytics and solutions to… Ivy Exec

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Medical Economics Consultant – new

Aetna 100+ Reviews Morrisville, NC

The Medical Economics Consultant retrieves, organizes and performs analysis on data, is actively involved in decision making process to provide… Beyond.com

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Licensed Behavioral Health Utilization Management (UM) Clinician (RN, LCSW, LPC, LMFT) – new

Aetna 100+ Reviews Morrisville, NC

Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies critical thinking… Beyond.com

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Registered Nurse (RN) Utilization Management (UM) Nurse Consultant

Aetna 100+ Reviews Cary, NC

Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Fundamental Components… Beyond.com

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RN-Utilization Management Nurse Consultant

Aetna 100+ Reviews Morrisville, NC

The Utilization Management Nurse Consultant utilizes clinical skills in a collaborative process to assess, plan, implement, coordinate, monitor and… Beyond.com

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Risk Adjustment Nurse - Registered Nurse (RN) / Licensed Practical Nurse (LPN)

Aetna 100+ Reviews Morrisville, NC

As the Risk Assessment Nurse, you will work with internal business partners, specifically with the Commercial Risk Management Organization (CRMO… Beyond.com

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Exec Dir, Regional Netwrk Mgmt

Aetna 100+ Reviews Morrisville, NC

Design, develop, contract, maintain and enhance relationships with facilities, physicians and ancillary providers which serve as contractual networks… Beyond.com

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Health Care Clinical Quality M

Aetna 100+ Reviews Cary, NC

Accountable for health care quality projects and initiatives thorugh direction setting and leadership. Assimilates information to proactively develop… Beyond.com

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Registered Nurse (RN) - Case Manager

Aetna 100+ Reviews Cary, NC

The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individuals… Beyond.com

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Exec Dir, Consumer Market Lead

Aetna 100+ Reviews Morrisville, NC

Consumer Market Lead (CML) drives local execution and manages business where the consumer lives and receives care. Accountable for the Consumer… Beyond.com

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Licensed Behavioral/Mental Health Nurse Educator

Aetna 100+ Reviews Morrisville, NC

This position will develop and deliver training for Medicaid Health Plan personnel and Shared Services Departments. This includes the roles of Case… Beyond.com

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Registered Nurse (RN) - Utilization Management Nurse Consultant

Aetna 100+ Reviews Morrisville, NC

As a Registered Nurse (RN) Utilization Management (UM) Nurse Consultant, you will utilize clinical skills in a collaborative process to assess, plan… Beyond.com

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Registered Nurse (RN) Medicare Risk Adjustment Nurse

Aetna 100+ Reviews Morrisville, NC

The Medicare Risk Adjustment Nurse develops and maintains physician office relationships to ensure access and open lines of communication. Reviews… Beyond.com

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Senior Product Consultant

Aetna 100+ Reviews Morrisville, NC

Strong prior healthcare industry experience required.This is not an IT or Banking Position. We would strongly encourage candidates with Health… Beyond.com

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PHG Account Manager

Aetna 100+ Reviews Cary, NC

Responsible for managing new and existing relationships for Self funded clients and brokers. Evaluate plan costs, provide analytics and solutions to… Beyond.com

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Quality Analyst

Aetna 100+ Reviews Cary, NC

Position would report to the Quality Adjustment team and be responsible for processing adjustments to previously processed claims. Fundamental… Beyond.com

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Medical Economics Consultant – new

Aetna Morrisville, NC

Background/Experience Desired:- Experience in an Medical Economics/Healthcare Data analysis role within managed care/insurance or overall healthcare… Ivy Exec

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Executive Director, Consumer Market Lead – new

Aetna Morrisville, NC

Consumer Market Lead (CML) drives local execution and manages business where the consumer lives and receives care. Accountable for the Consumer… Ivy Exec

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