Aetna Plan Coordination Cnslt in Hartford, Connecticut
Req ID: 42748BR
Responsible for pharmacy benefit plan coding for new and existing customers. Provides focused service to ensure pharmacy benefits are coded timely and accurately.
Processes pharmacy plan benefit coding from Aetna source system in accordance with quality and production standards. Additional requirements of this position include but are not limited to: - Researches and resolves issues in a timely and efficient manner - Possesses functional knowledge of the other units in the department and organization - Suggests solutions to ensure productive and accurate data entry - Participates as a member of a cross functional work team - Participates in testing of system changes, fixes or upgrades - Uses system generated data to prepare management level reports - Exhibits behaviors outlined in Implementation Consultant Competencies
1+ years healthcare experience Knowledge of Aetnas Pharmacy products, services, and system capabilities desired Knowledge CCI, specifically the RxDrug BIC coding guidelines desired Knowledge of SalesForce.com would be beneficial
The minimum level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience.
Functional - Products-Other/Pharmacy/1+ Years
Technical - Aetna Applications/Customer Coverage Inquiry (web)/1+ Years/End User
General Business/Applying Reasoned Judgment/FOUNDATION
General Business/Demonstrating Business and Industry Acumen/FOUNDATION
General Business/Maximizing Work Practices/FOUNDATION
Considered for any US location; training period in the office may be required
ADDITIONAL JOB INFORMATION
Attention to detail and accuracy Sufficient verbal and written communication skills Ability to manage multiple priorities Strong team player
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: Customer Service