The Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for medical, behavioral, transportation, and other healthcare providers.
A.R
Aetna Resources, a part of CVS Health, is a leading health solutions company dedicated to transforming healthcare for millions of Americans. With a workforce of over 300,000 passionate colleagues, Aetna focuses on providing connected, convenient, and compassionate care through various channels. The company emphasizes data intelligence to support its Medicare organization and Stars program, aiming to enhance member experiences and elevate Star ratings while adhering to regulatory guidelines. Aetna is committed to fostering a diverse and inclusive workplace, offering comprehensive benefits and a culture that values collaboration, trust, and innovation.
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Jobs from Aetna Resources:
Utilization Management Nurse Consultant - Medical Review
Case Manager, Registered Nurse - Fully Remote
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A.R
Aetna Resources, a part of CVS Health, is a leading health solutions company dedicated to transforming healthcare for millions of Americans. With a workforce of over 300,000 passionate colleagues, Aetna focuses on providing connected, convenient, and compassionate care through various channels. The company emphasizes data intelligence to support its Medicare organization and Stars program, aiming to enhance member experiences and elevate Star ratings while adhering to regulatory guidelines. Aetna is committed to fostering a diverse and inclusive workplace, offering comprehensive benefits and a culture that values collaboration, trust, and innovation.
Share This Job!
Save This Job!
Jobs from Aetna Resources:
Utilization Management Nurse Consultant - Medical Review
Case Manager, Registered Nurse - Fully Remote
Senior Claim Benefit Specialist
InnoTech Leadership Development Program
Senior Manager of Business Process Improvement
O.H
Oscar Health
Oscar is seeking an Investigations Manager for their Special Investigations Unit to lead anti-fraud initiatives and manage a team.
E.R.S
Ethos Risk Services
Ethos Risk Services is seeking a full-time remote Special Investigations Unit (SIU) Manager to conduct investigations in property and casualty insurance claims.
M.T.A
Molina Talent Acquisition
The SIU Investigator is responsible for investigating health care fraud, waste, and abuse through audits and data analysis.
M.T.A
Molina Talent Acquisition
The SIU Investigator is responsible for investigating health care fraud, waste, and abuse through audits and data analysis.
C.R
Capital Rx
The Manager of the Special Investigations Unit will lead efforts to oversee and enhance the Fraud, Waste, and Abuse program within the healthcare sector.