Aetna Business Analyst in Phoenix, Arizona

Req ID: 41102BR

POSITION SUMMARY

Reporting to the Manager of Configuration Standards and Solutions (CSS), this position is responsible for executing the activities of the CSS department, including, but not limited to, research, analysis, file maintenance, project execution and project closure of assigned health plans. The incumbent will employ a variety of skills sets in the performance of his/her responsibilities including but not limited to, health care provider reimbursement mechanisms, data queries, analytical skills, and strong written and verbal communication skills.

Fundamental Components:Extensive knowledge of health care claims, coding, systems, fee schedules and reimbursement methodologiesExcellent written and verbal communication skills Strong attention to detail, organizational abilities and ability to work independently Solid computer skills including Word, Excel, Visio, ACCESS and SQL Proficient data query design and analytical skills BACKGROUND/EXPERIENCE desired:Must possess sound knowledge of structured IT application development lifecycles, methodologies inclusive of Use Case tools.Ability to successfully interact with members, medical professionals and health plan and government representatives.3+ years Business Analyst experience

EDUCATION

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

FUNCTIONAL EXPERIENCES

Functional - Claims/Claim processing - Medical or Hospital- HMO/1-3 Years

Functional - Information Management/Data acquisition, data management, programming and documentation/1-3 Years

Functional - Finance/Audit - system development/1-3 Years

Functional - Administration / Operations/Document production & distribution/1-3 Years

Functional - Information Management/Analyzes all types of capitated and fee-for-service provider contracts, performs variance analysis/1-3 Years

TECHNOLOGY EXPERIENCES

Technical - Aetna Applications/QNXT/1-3 Years/

Technical - Database/Microsoft Access/1-3 Years/

Technical - Desktop Tools/Microsoft Word/1-3 Years/

Technical - Desktop Tools/Microsoft Project/1-3 Years/

REQUIRED SKILLS

Leadership/Collaborating for Results/FOUNDATION

Leadership/Creating Accountability/FOUNDATION

General Business/Maximizing Work Practices/ADVANCED

DESIRED SKILLS

General Business/Turning Data into Information/ADVANCED

Technology/Justifying the Business Case/ADVANCED

General Business/Applying Reasoned Judgment/FOUNDATION

Telework Specifications:

Considered only 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.

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: Information Technology