Aetna Credentialing Sr Analyst in Omaha, Nebraska

Req ID: 44460BR

*This position is open to individuals working from any Aetna location/facility

POSITION SUMMARY

Credentialing Analysts are responsible for reviewing, analyzing, evaluating and validating provider information against standard business and credentialing requirements and maintaining that information in a variety of Credentialing systems. Conducts extensive research and analysis of sensitive provider data and addresses data integrity issues when appropriate.

FUNDAMENTAL COMPONENTS

Reviews application for completeness to support acceptable levels of provider access and availability for members.

Identifies potential business and/or quality issues and discrepancies.

Makes outreach to internal and external customers as necessary to facilitate information gathering.

BACKGROUND/EXPERIENCE

Previous provider, healthcare, or medical experience is highly preferred

Excellent organizational skills

Computer proficiency

Excellent written and verbal communication skills

Demonstrated ability to meet and maintain production and quality metrics

EDUCATION

The highest level of education desired for candidates in this position is a MD.

TELEWORK SPECIFICATIONS

Only will be considered for current, internal teleworkers (in any area)

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.

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