Aetna Care Management Associate in Allentown, Pennsylvania

Req ID: 52065BR


As a Care Management Associate, you will help support the Public & Labor Team to provide comprehensive coordination of medical services for the P&L membership.

Fundamental Components:

As part of the Public and Labor team, your daily job functions will include: answering incoming calls from providers and members regarding precertification or pre-registration for surgical procedures; coordinating with appropriate nurses; verifying eligibility; referring/transferring callers to appropriate departments/clinical staff; and providing excellent customer service. You will use ATV, and other software programs to enter data, research information and document your daily activities. The job responsibilities require the ability to learn multiple processes and complete them consistently, efficiently and in compliance with detailed policy & procedures.


2-4 years experience as a medical assistant, office assistant, or customer service representative experience, computer literacy, basic knowledge of Microsoft Word / Excel / Outlook, superb ability to multitask and problem solve, knowledge of medical terminology, and a strong desire to provide the highest customer service experience possible.


The highest level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience.


Functional - Administration / Operations/Telephone / Receptionist/1-3 Years

Functional - Administration / Operations/Data Entry/1-3 Years

Functional - Customer Service//1-3 Years

Functional - Clinical / Medical//1-3 Years


Technical - Call Management/ACD (Automatic Call Distribution)/1-3 Years/End User

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

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


Benefits Management/Interacting with Medical Professionals/FOUNDATION

General Business/Communicating for Impact/ADVANCED

Service/Creating a Differentiated Service Experience/ADVANCED


Service/Demonstrating Service Discipline/FOUNDATION

Service/Providing Solutions to Constituent Needs/ADVANCED

Service/Working Across Boundaries/FOUNDATION


We are looking for a Care Management Associate to join the Public & Labor team. Our department is a rapidly growing fast paced environment that provides our teams the opportunity to make a positive impact for our members and customers. The role is office based with extensive telephonic and computer utilization. We are seeking an individual who is adaptable and innovative with strong customer service skills that focus on the well-being of our members.

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