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Candidate will provide member care and customer service. Will build relationships with members, help with navigation of healthcare system, and connect member with resources. Manage patient cases to ensure quality and medical appropriateness.
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Licensed Practical Nurse (LPN)
Aetna International is growing and has many exciting opportunities for qualified individuals. The work we do in our offices throughout the United States, Europe, Asia and the Middle East requires talented individuals committed to helping our business grow. Our work environment is fun, challenging, innovative and entrepreneurial. We recognise the impact and importance of diversity, and are committed to professional development to ensure our and your future success. Aetna Group has developed an ongoing training plan that allows it to effectively guarantee the quality and professionalism of its brands and staff all over the world, in line with the One Global Company policy that characterizes the company.
The company serves individuals and groups in all 50 states and maintains a healthcare network comprised of more than 1 million healthcare professionals and 5,700 hospitals. Handle inbound phone calls that include prescription refills, order status, and insurance coverage. Pharmacy Technician license/certificate and customer service experience are required. The insurance benefits verification representative will verify health insurance coverage and process prescription orders. This is currently a remote position. Candidates need MS Office skills and a year of relevant experience in a healthcare setting.
Population Health Solutions
If so, please click "Applied for Job" to save it to your "Application History" page. If not, click on "Did Not Apply" to return to the job post. You may not be able to access certain secure sites and member pages on the Aetna International website unless you have previously registered for them or hold applicable policies. Careers range from finance to health management and from nursing to marketing. A One Global Company Policy and a tailor made approach are the coordinates that have allowed Aetna Group to differentiate itself internationally, guaranteeing the same quality standard of product and service everywhere in the world.
We help people navigate the health care system — and their personal health care — by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day. Aetna, a CVS Health company, is an equal opportunity/affirmative action employer. Gender/Minority/Disability/Protected Veteran — committed to diversity in the workplace. We include these past jobs as a way for you to explore what kinds of remote and flexible jobs Aetna has hired for in the past and might be likely to hire for again in the future. Displayed here are Job Ads that match your query.
COMPANY
Respond to inbound calls and live chat from healthcare customers, provide information about company services, and resolve customer service questions. Requires 1 year customer service experience and Spanish fluency. Duties include monitoring team attendance, hiring & managing the performance of team members, compiling performance reviews, and providing support to other departments as needed.
A strong identity recognized globally, which makes diversity its strong point. People have a lot of questions from work from home jobs. This commit does not belong to any branch on this repository, and may belong to a fork outside of the repository.
Case Manager RN - Telephonic
You have been redirected to an Aetna International site. InterGlobal is now part of Aetna, one of the largest and most innovative providers of international medical insurance. We have combined our businesses to create one market-leading health care benefits company. This means we can better serve people who depend on Aetna International and InterGlobal to meet their health and wellness needs. Partial remote position will perform applied statistical research/customer analysis of healthcare data, make recommendations about data collection methods, present analytic reports, and deliver solutions.
Senior Claims Benefit Specialist is needed for a remote role. He/She will review and adjudicate complex, sensitive, and/or specialized claims in accordance with processing guidelines. At least 2 years of relevant experience is required. Design conceptual models, handle clinical initiative planning, ongoing client relationship management, and provide guidance to internal/external partners and vendors.
Will collect requirements, collaborate with team, lead solution development and create business models. High school diploma and 8+ years' related experience required. The sr. claims data specialist will handle claim data management processes, help create product offerings, & lead process improvements. Requires at least three years' claim processing experience & a year of recent customer service exp. Remote in pandemic, 2nd shift hours.
Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. 6+ months of general work experience. Prefer three months of work computer experience. Prefer six months work experience in a pick/pack/ship. As an Aetna International, a CVS Health company, employee you will be at the center of it all. Stay in touch with our International recruiting team on social media.
The remote customer service rep will support specialty pharmacy patients by assisting with prescription refills & answering order or insurance inquiries. Qualifications include a HS diploma or the equivalent & a year of customer service experience. Collaborate across teams, report analytical findings, make recommendations and analyze and synthesis high volumes of complicated data into significant insights and current data. 1+ years of relevant experience is sought.
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