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Clinical Policy & Claims Coding Manager
Job in
Coventry, Kent County, Rhode Island, 02816, USA
Listed on 2026-09-04
Listing for:
CVS Health
Full Time
position Listed on 2026-09-04
Job specializations:
-
Healthcare
Healthcare Management, Healthcare Compliance, Healthcare Administration, Medical Billing and Coding
Job Description & How to Apply Below
CVS Health in Rhode Island is seeking a policy operations specialist to operationalize Aetna Clinical Policy Bulletins into precise, testable coding logic that drives claims adjudication across lines of business. You will ensure decisions are clinically appropriate, compliant, and auditable, partnering with cross‑functional teams in a 40‑hour workweek.
Required:
2+ years in healthcare claims administration, CPT/HCPCS/ICD‑10 coding knowledge, and relevant certification;
Associate’s degree or
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