Aetna Plan Coordination Cnslt in New Albany, Ohio

Req ID: 41866BR

POSITION SUMMARY

Processes and coordinates all plan benefit changes and required structural and administrative updates into systems essential for on-line viewing, claim enrollment and billing purposes.

Fundamental Components:

Consults and communicates with internal constituents regarding the details associated with new business and revision activity in a timely manner and validates account structure. () Completes timely and accurate set-up of complex account structure and detailed benefit plans in systems for multiple constituents in order to satisfy both internal and external deadlines for production - impacting a wide variety products and services; May perform additional plan sponsor administration functions. () Reviews benefit provisions to ensure compliance with state and Federal legislative mandates; evaluation process may also include assessment of summary plan descriptions and other related documents prepared by the plan sponsor or third party. () Monitors and manages internal installation process and maintains case tracking tools to meet constituents expectations and business goals. ()

BACKGROUND/EXPERIENCE desired:

Plan Sponsor - Account installation Plan Sponsor - Plan set-up - HMO Plan Sponsor - Plan set-up - Traditional General Business/Communicating for Impact Leadership/Collaborating for Results Service/Case Administration General Business/Applying Reasoned Judgment Leadership/Driving a Culture of Compliance Service/Providing Solutions to Constituent Needs

EDUCATION

The highest level of education desired for candidates in this position is a Associate's degree or equivalent experience.

DESIRED SKILLS

General Business/Applying Reasoned Judgment/FOUNDATION

General Business/Demonstrating Business and Industry Acumen/FOUNDATION

Leadership/Collaborating for Results/FOUNDATION

Telework Specifications:

Considered only for current internal teleworkers

Other Office locations - any eastern Time Zone office

ADDITIONAL JOB INFORMATION

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.

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