Aetna Dir, Service Operations in Tampa, Florida

Req ID: 41086BR

POSITION SUMMARY

Leader will have oversight of both on-shore and off-shore teams and be responsible for the operational/financial results. This position requires that the top line revenue growth is achieved year over year

Fundamental Components:

Director will be responsible to increase top line revenue for the coding/nursing review product. Director will ensure the proper SG&A as a percentage of revenue is maintained through the utilization of operational excellence techniques.

BACKGROUND/EXPERIENCE desired:

10+ years experience in the Worker Compensation managed care role. 5+ years in leadership of certified coders/nurses. Execution of operational excellence to achieve P&L goals.

EDUCATION

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

LICENSES AND CERTIFICATIONS

Nursing/Registered Nurse (RN) is desired

Medical/Certified Coding Associate (CCA) is desired

FUNCTIONAL EXPERIENCES

Functional - Nursing/Clinical claim review and coding/4-6 Years

Functional - Products-Other/Workers Compensation/7-10 Years

TECHNOLOGY EXPERIENCES

Technical - Desktop Tools/Microsoft Exchange/7-10 Years/End User

Technical - Reporting Tools/Crystal Reports / Crystal Enterprise/4-6 Years/End User

ADDITIONAL JOB INFORMATION

Exciting position that mixes operational focus with creating new revenue streams.

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.

Job Function: Customer Service