Aetna Trainer in Tampa, Florida
Req ID: 41014BR
PLEASE NOTE: THIS OPPORTUNITY IS OFFICE-BASED. Tampa, FL office is preferred.
We are looking for a Claims Trainer to enhance the competencies of individual employees by designing and conducting training programs that will boost employees workplace performance in alliance with companys core values. You will be responsible for performing training needs assessments, designing and delivering curriculum and learning materials and for managing all phases of training interventions.
The person hired for this position will deliver and/or facilitate training sessions to designated audiences and will be required to travel to India and various locations as needed; create training materials and create claim workflows; perform performance analysis with business leaders to identify performance gaps (tracking and trending), appropriate training interventions, and other variables required to improve business performance. Hold Claim (Domestic and International) Quality Hours for Passport to Health (PTH) and Aetna International as needed, hold refresh training for Claims Benefit Specialist and Plan Sponsor Liaison; assist with any updating Wiki information as needed, work with local leadership and national curricula design teams to ensure the successful transfer of learning from the classroom back to the job. He/she will communicate regularly with training staff to manage the rollout of training materials; feedback on training effectiveness; incorporate feedback from participants and other relevant audiences to improve training, processes and products; and effectively manage curriculum, reporting and other relevant administrative requirements through the Aetna Learning Center. He/she must consistently maintain quality and production standards set forth for claim auditing and will eventually be cross trained on the CSR training curriculum as well.
The ideal candidate needs a minimum of 2+ years of medical and dental Claims processing experience, knowledge of RUMBA applications, medical products (PPO, OA MC,CMED, etc.), SCM contracts and HMOPROD knowledge a must, JCA/PTH knowledge a plus. Strong knowledge of the topics being trained and the ability to interact effectively with people at all levels, training experience desired but not needed.
The highest level of education desired for candidates in this position is a Associate's degree or equivalent experience.
Functional - Claims/Claim processing - Medical or Hospital - ACAS/1-3 Years
Functional - Dental
General Business/Communicating for Impact/FOUNDATION
Leadership/Collaborating for Results/FOUNDATION
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: Workforce and Talent Development