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101 aetna jobs in Pittsburgh, PA

Director, Service Operations & Medicare Enrollment

Aetna Pittsburgh, PA

Day-to-day leadership of the Medicare Enrollment team for the Individual market. Providing leadership and oversight for creating and driving… Ivy Exec

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Medicare Advantage Project Lead

Aetna Pittsburgh, PA

Position is accountable to analyze, support and improve functionality for enrollment and Plan Services for Medicare Advantage & PDP products… Ivy Exec

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Compliance Consultant – new

Aetna 100+ Reviews Pittsburgh, PA

Promotes and enforces compliance with state/federal laws and regulations and related-company policies (including the Aetna Code of Conduct) affecting… Beyond.com

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Instructional Design & Developer – new

Aetna 100+ Reviews Pittsburgh, PA

Uses a variety of educational media to design and develop state-of-the-art training tools and programs for face-to-face and virtual Aetna audiences… Beyond.com

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Director, Service Operations & Medicare Enrollment

Aetna 100+ Reviews Pittsburgh, PA

Day-to-day leadership of the Medicare Enrollment team for the Individual market. Providing leadership and oversight for creating and driving… Beyond.com

  • Overview
  • Reviews
  • Salaries

Registered Nurse (RN) UM Nurse Consultant

Aetna 100+ Reviews Pittsburgh, PA

This is an exciting nursing opportunity to work with skilled nursing and rehabilitation admissions, conducting concurrent review and facilitate… Beyond.com

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Medicare Grievances and Appeals Coordinator

Aetna 100+ Reviews Pittsburgh, PA

Serves as single point of contact to provide support and advocacy to Medicare members for resolution of Medicare appeals. Coordinates the overall… Beyond.com

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Medicare Plan Benefit Specialist

Aetna 100+ Reviews Pittsburgh, PA

The Medicare Plan Set-Up Specialist will utilize various Guide applications to build Medicare Advantage medical and pharmacy plans for benefit… Beyond.com

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Complaint & Appeal Analyst [Multiple Opportunities Available!]

Aetna 100+ Reviews Pittsburgh, PA

As a Complaint and Appeal Analyst, you will be responsible for investigating and resolving oral and written grievances received for all products. The… Beyond.com

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Risk Adjustment Nurse (RN or LPN)

Aetna 100+ Reviews Pittsburgh, PA

Work with internal business partners specifically with the CRMO clinical coding team - to develop relationships with local network and health care… Beyond.com

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Medical Cost Analyst

Aetna 100+ Reviews Pittsburgh, PA

- Conduct analytical projects in support of Aetnas Accountable Care Strategy- Provide analytical support for ACO contract negotiations- Provide… Beyond.com

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Manager, Medicare Project & Technical Lead

Aetna 100+ Reviews Pittsburgh, PA

Position is accountable to manage technical leads and consultants that are responsible to analyze, support and improve functionality for enrollment… Beyond.com

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Medicare Business Technical Reporting

Aetna 100+ Reviews Pittsburgh, PA

This is a highly technical position where the applicant should have strong Medicare Advantage & PDP policy, guidance and process experience and… Beyond.com

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Licensed Clinical Care Manager (RN, LCSW, LPC)

Aetna 100+ Reviews Pittsburgh, PA

Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through… Beyond.com

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Sr Business Consultant

Aetna 100+ Reviews Pittsburgh, PA

As a member of the health plan client services team, you will be consulting with multiple health plan clients to provide production process and… Beyond.com

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Medicare Advantage Project Lead

Aetna 100+ Reviews Pittsburgh, PA

Position is accountable to analyze, support and improve functionality for enrollment and Plan Services for Medicare Advantage & PDP products… Beyond.com

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Licensed Behavioral Health Specialist (LCSW, LPC, RN, LMFT)

Aetna 100+ Reviews Pittsburgh, PA

Behavioral Health Specialist provides consultation and collaboration to medical nurses in case management program (post-hospital and community care… Beyond.com

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Senior Director - Informatics

Aetna Pittsburgh, PA

Provides strategic leadership for research design and statistical methodology used in modeling and outcomes studies. Makes evidence based… Ivy Exec

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Nurse

Aetna Pittsburgh, PA

This exciting role will work with acute hospital admissions, concurrent review and facilitate discharge planning that appropriately meets the members… MyJobHelper

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