This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and res...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
Bachelor's degree in Social Work or in health, human, or education services and 3 years of experience in long-term care, home health, hospice, public health, or assisted living. Master’s degree in Social Work or in health, human, or education services and 1 year of experience in long-term care, home...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
This position will require the skillset of an experienced project manager who has successfully delivered large scale, multi-phased system implementations with multiple work streams, numerous different types of stakeholders and the ability to comfortably deliver updates and relay information to vendo...
Supervises Safety and Health Intern, Safety and Health Specialist 1, 2, and 3. This is mid-level project position, which is accountable for implementing and maintaining the Company's Safety and Health Procedures on a larger, moderately complex project. Performs medium to high complexity tasks and ma...
Lead Project Managers and/or Program team in the development and maintenance of comprehensive plans for a defined program. Healthcare Insurance industry business and operational knowledge. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Ac...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
As a Digital Product Manager for My Highmark, a site for members to view claims, explore coverage, and find care, you'll play a pivotal role in representing the customer's voice throughout the product development lifecycle. Coordinate with other Product Managers to ensure cross-product alignment. Co...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
Highmark Health's Enterprise Data Office (EDO) is seeking a passionate and experienced Testing and Quality Manager to champion a culture of quality and continuous improvement. Bachelor's Degree in Computer Systems Analysis, Data Processing, Healthcare Informatics or Management Information Systems. M...
The Senior Manager, Pharma Services Growth is a critical member of the Trade Strategy team, which is tasked with leveraging CVS Health’s size and scale to create differentiated, one-of-a-kind solutions for pharmaceutical manufacturers that reduce the costs of goods and make pharmaceuticals more acce...
This role is a unique opportunity to be at the forefront of integrating generative AI into healthcare marketing, shaping the future of healthcare experiences. As Artificial Intelligence Marketing Technology Manager, you will be the technological cornerstone of our marketing & experience team, drivin...
As a WendWell Health Distributor/Agency - Sales Team Manager, you will lead your team of agents dedicated to promoting and enrolling eligible customers into Affordable Care Act (ACA) healthcare plans. Overview: WendWell Health is seeking dynamic and motivated sales team leaders and agencies to join ...
Understanding of healthcare costs and the broader healthcare service delivery system. This job has primary ownership and oversight over a specified panel of oncology members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
The incumbent will play a key role with IT product managers and product owners planning in facilitating budget and resource requests and follow through. Salesforce Data Cloud, Marketing Cloud, Marketing Cloud Intelligence, Adobe Experience Manager, and Workfront). Highmark Health and its affiliates ...
Engage, motivate, and lead team in a positive manner that fosters teamwork and excellence, including planning and organizing work in a managerial role. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the...
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientati...
Healthcare or Health Insurance Experience. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, relig...
Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the business strategy and shaping Procurement strategic direction. Certified Purchasing Manager (CPM). Highmark Health and its affiliates prohibit discrimination against qualified individu...
Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the business strategy and shaping Procurement strategic direction. Certified Purchasing Manager (CPM). Highmark Health and its affiliates prohibit discrimination against qualified individu...