Aetna Encounters Senior Informatics Analyst - 45112BR in Richmond, Virginia

Req ID: 45112BR


Position is available for telework for current Aetna teleworkers only.

This position offers the opportunity to greatly broaden different skill sets and knowledge of state Medicaid plans. The work is diverse which enhances a candidate's potential for future advancement within the company. Position is responsible for analyzing data from multiple sources in support of the Medicaid business unit.

Fundamental Components:In support of the Medicaid Encounter Department, candidate must be a SQL power user, able to review results, conduct root cause analysis, identify next steps and put them into action. Candidate should be familiar with HIPAA transaction sets, claims processing and encounters. Should have the ability to move multiple projects forward simultaneously and be responsible for the results, even when others are directly accountable for the outcome. Ability to establish relationships with internal and external constituents a must.

BACKGROUND/EXPERIENCE desired:2 - 3 years of experience with SQL Server as Power User for coding, troubleshooting and modificationsFamiliar with HIPAA encounter transactions or files ( Familiar with HIPAA encounter transactions or files (824, 837, 277, 999)Coding issues identification & resolution experience Experience with SSIS is a plus Experience with databases as well data analysis, interpretation, and manipulation of dataHealthcare background along with knowledge of all types of managed care


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


Functional - Information Management/Data acquisition, data management, programming and documentation/4-6 Years

Functional - Information Management/Query and Database Access Tools/4-6 Years

Functional - Information Technology/Application development/4-6 Years

Functional - Information Technology/Testing/4-6 Years

Functional - Claims/Reporting & special services/4-6 Years


Technical - Database/SQL Server/4-6 Years/Power User

TechnicalExperience/TechnicalFocus/4-6 Years/Power User

Technical - Subject Disciplines/Business Process Management/1-3 Years/End User

Technical - EDI/EDI/1-3 Years/End User


General Business/Turning Data into Information/ADVANCED

Technology/Developing Competitive Technology and Architecture/FOUNDATION

Technology/Leveraging Technology/ADVANCED


General Business/Consulting for Solutions/FOUNDATION

General Business/Maximizing Work Practices/FOUNDATION

Leadership/Driving a Culture of Compliance/FOUNDATION


Fast paced, technical and highly regulated 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: Health Care