Aetna Provider Data Service Analyst in Allentown, Pennsylvania

Req ID: 45030BR

Internal and External Candidates Must be located in Harrisburg, PA and Jacksonville, FL

Internal candidates within Service Ops can be located in Blue Bell, PA and Allentown, PA

POSITION SUMMARY

This position requires an analytical thinker with problem solving skills.

Fundamental Components:

Provider Data Services is a fast paced environment where learning occurs each day. The successful candidate has to be a quick learner and strives with challenges.

. We utilize the state laws for our updates

. We maintain the provider's demographic information in EPDB and HMO Mainframe

. We maintain the provider's contracted rates so that claims pay to those rates.

BACKGROUND/EXPERIENCE desired:

Demonstrated PC skills, including Microsoft Office products and Internet navigation skills.

Previous insurance experience helpful.

Demonstrated effective communication skills, both verbal and written.

Experience with EPDB and Mainframe Provider and other Aetna systems.

Demonstrated PC skills, including Microsoft Office products strong Excel skills a plus.

EDUCATION

The minimum level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience.

TECHNOLOGY EXPERIENCES

Technical - Aetna Applications/Enterprise Provider Database System/1+ Years/End User

Technical - Desktop Tools/Microsoft Outlook/1+ Years/End User

Technical - Mainframe Tools and Software/TE Rumba/1+ Years/End User

REQUIRED SKILLS

Benefits Management/Interacting with Medical Professionals/FOUNDATION

General Business/Communicating for Impact/ADVANCED

Technology/Leveraging Technology/FOUNDATION

DESIRED SKILLS

General Business/Maximizing Work Practices/ADVANCED

Leadership/Collaborating for Results/FOUNDATION

Service/Providing Solutions to Constituent Needs/ADVANCED

ADDITIONAL JOB INFORMATION

Provider Data Service is an integral part of Aetna provider network. This role works with Internal and External consumers and we strive for excellence.

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Job Function: Health Care