Aetna Business Analyst in Phoenix, Arizona

Req ID: 41631BR


Reporting to the Manager of Configuration Solutions Reimbursement Administration (CSRA), this position is responsible for executing the activities of the Health Plan Reimbursement Administration (HPRA) department, including, but not limited to, research, analysis, file maintenance, project execution and project closure of assigned health plans.

Fundamental Components:

Extensive knowledge of health care claims, coding, systems, fee schedules and reimbursement methodologies

Excellent written and verbal communication skills

Strong attention to detail, organizational abilities and ability to work independently

Solid computer skills including Word, Excel, ACCESS and SQL

Proficient data query design and analytical skills


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.


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


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

Functional - Information Management/Develops provider compensation and fee schedules/1-3 Years

Functional - Information Management/Business information analysis/1-3 Years

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

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


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

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

Technical - Desktop Tools/Microsoft SharePoint/1-3 Years/End User

Technical - Operating Systems/Windows 2003/1-3 Years/End User


General Business/Applying Reasoned Judgment/FOUNDATION

Leadership/Creating Accountability/FOUNDATION

Leadership/Collaborating for Results/FOUNDATION


General Business/Turning Data into Information/ADVANCED

Leadership/Driving a Culture of Compliance/FOUNDATION

Technology/Leveraging Technology/ADVANCED

Telework Specifications:

Considered only for current internal teleworkers (in any area)


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