Aetna VA DSNP PSS Technical Lead in Newark, Delaware

Req ID: 45590BR

No Telework; Candidate will work full-time from Harrisburg, PA or Newark, DE office.

POSITION SUMMARY

Provides technical and operational support for key benefit plan administrative functions (i.e., eligibility, plan set-up, billing, drafting, etc.). Provides consulting services and/or develops tools to assist with executing processes against plan guidelines and client service expectations.

Fundamental Components:

Leads process improvement initiatives to improve productivity, accuracy and/or customer service and tool development. (*)

Manages assigned projects and ensure project plans and/or work tasks are in alignment with overall organization goals. (*)

May evaluate complex and/or high visibility cases, identify risks and recommend appropriate measures to manage risks while growing or retaining membership; responds to Department of Insurance complaints; interprets and provides clarification/documentation on new policies and processes; and participate in broker/customer meetings. (*)

Provides administrative and technical support to a team responsible for benefit plan administration services and processes; identifies and works with appropriate resources to address any downstream impact from process changes/modifications. (*)

Mentors, coaches and assists with the development of training for staff; provides technical expertise critical for achieving key performance measures and finalizing cost-effective decisions relative to benefit plan administration; may review the work of others or assist in quality assurance initiatives. (*)

Collaborates cross-functionally as well as cross-departmental to achieve business goals; influences change/enhancement to business processes, policies and system infrastructure to improve information quality, availability, and access. (*)

BACKGROUND/EXPERIENCE desired:

1-3 years technical experience supporting Plan Sponsor Services functions is REQUIRED.

Medicare / Medicaid experience is strongly preferred.

College degree of equivalent work experience.

EDUCATION

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

REQUIRED SKILLS

General Business/Communicating for Impact/ADVANCED

Service/Demonstrating Service Discipline/ADVANCED

Service/Improving constituent-focused Processes/FOUNDATION

DESIRED SKILLS

Service/Working Across Boundaries/ADVANCED

Technology/Selecting and Applying Technology Solutions/FOUNDATION

General Business/Maximizing Work Practices/ADVANCED

ADDITIONAL JOB INFORMATION

Ability to anticipate customer needs and requirements, as well as to facilitate and negotiate using tact and diplomacy.

Problem solving skills.

Strong computer skills.

Effective verbal communication skills.

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