Aetna Job Opportunities – Manager Plan Sponsor Support

Job Description:

Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Job Responsibilities:

• Provides plan sponsors with required resources and guidance for making informed managed care plan design decisions and changes.
• Under the general direction of senior management, implements strategic and tactical plans in support of achieving targeted business objectives related to customer satisfaction, superior account management and cost effective service delivery.
• May act as the single point-of-contact for field sales, brokers, plan sponsors, and other internal/external parties throughout the case installation process; identifies and interprets plan sponsor benefit plan needs/requirements and takes appropriate action to avoid potential problems and ensure seamless plan integration.
• Influences new membership growth and existing membership retention by implementing strategic member services or plan sponsor service initiatives.
• Employs rigorous financial and value based analysis to manage and enhance department profitability.
• Manages cross-functional team of professionals overseeing business processes associated with billing and A/R activities, eligibility/enrollment, plan set-up, benefit drafting, plan installation, cash control, and general administration of account management.
• Establishes and maintains strong, collaborative relationships with clients, other functional area managers, other cross regional or inter-departmental areas to ensure all processes and workflow interdependencies are identified and addressed accordingly on an on-going basis.
• Monitors and reports on customer satisfaction, quality assurance, audits, performance measures, and continuous process improvement.
• Identifies and analyzes the impact from both upstream and downstream contributors to problems, and then partners extensively across business functions to proactively resolve developing service delivery issues.

Job Requirements:

• 1-3 years of Management experience
• College degree or equivalent work experience.
• Candidates must be within a commutable distance to the Phoenix, AZ office
• 1-3 years of Medicaid and Medicare experience
• 1-3 years of Customer Service experience
• 1-3 years of Claims experience

Job Details:

Company: Aetna

Vacancy Type:  Full Time

Job Location: Phoenix, AZ, US

Application Deadline: N/A

Apply Here

vacancyoptions.com