Aetna Network Coordinator in Sunrise, Florida
Req ID: 41728BR
This is an office based role in Sunrise, FL.
Candidate will be responsible for supporting provider relationships to ensure compliance with Aetna's core values.
Fundamental components include but are not limited to:
Responsible for processing additions/deletions to provider groups. Facilitate submission of credentialing documents for new providers. Develop and maintain provider relationships. Participate in resolution of provider issues/complaints. Support Network Managers and Contract Negotiators as needed. Responsible for coordination of team projects/mailings.
-Bachelor's degree desired or equivalent work experience is preferred
-2-3 years managed care experience, preferably in Network Operations or Provider Relations is required
The minimum level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Provider data services/1-3 Years is preferred
Provider relations/1-3 Years is preferred
Microsoft SharePoint/1-3 Years is preferred
Microsoft Excel/1-3 Years is required
Microsoft Outlook/1-3 Years is required
Microsoft Word/1-3 Years is required
General Business/Maximizing Work Practices/MASTERY
General Business/Demonstrating Business and Industry Acumen/ADVANCED
Service/Creating a Differentiated Service Experience/ADVANCED
General Business/Consulting for Solutions
Service/Demonstrating Service Discipline
Leadership/Driving a Culture of Compliance
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