Aetna Program Business Analyst in Moon township, Pennsylvania

Req ID: 51524BR


Identifies, creates and executes specific deliverables and activities as part of a delivery team assigned to Medicare business-sponsored IT projects and initiatives across a domain or program. Projects require knowledge in health insurance preferably Medicare and will cover all functional areas including but not limited to enrollment, billing, claims processing, etc.

Fundamental Components:

Consistently performs analysis and translates business needs to create high-quality Business Requirements and Functional Specifications documentation within specified time frames to solve most complex problems (multiple interfaces with other systems across multiple business units) considering all impacted components from an end-to-end perspective.

Oversight of the Documentation of Business Requirements across a domain or program.

Expert in multiple business systems across a domain or program.

Ensure that the current & proposed business Process Flows are complete and accurate as needed to support the Requirements Specification documentation

Competent to work at the highest technical level of all phases of business systems, process and application analysis across multiple applications aligned to a domain or programs.

Ensures adherence, in partnership with delivery team leadership, to high level project task estimates for the domain and program (s) against projected workloads.

Proactively monitors, identifies, and communicates risks and issues that may impact any aspect of the project to the appropriate Program Delivery leadership.

Completes project activities on time and within budget, and proactively identifies and communicates issues that may jeopardize milestones or project budget to the Project Manager.

Adheres to APLC or AGILE project management methodology by utilizing internal procedures and tools to identify areas for methodology improvement and best practices.

Leads other Business Analysts to consistently analyze and translate business needs to create high-quality Business Requirements and Functional Specifications documentation. This work is completed within specified time frames to solve the most complex problems (ex. multiple interfaces with other systems across multiple business units) and considers all impacted components from an end-to-end perspective

Partners with project team leadership to mentor and coach BAs on all aspects of the BA role (processes, deliverables, etc.) as well as any applications they work with across the projects within their domains or programs

Provides feedback on BA performance as requested

Ensures that informal domain and program repositories of information pertaining to applications and processes are developed and maintained appropriately.

Ensures that the appropriate resources complete end-to-end traceability.


Must possess sound knowledge of structured IT application development lifecycles, methodologies inclusive of Use Case tools.

Ability to recognize complex problems vs. objectives and apply creativity to analyze situations, develop solutions and procedures.

10+ years Business Analyst experience.

3+ years supervisory/management experience

Excellent communication skills

Experience in health care processes required; Medicare experience preferred.


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


Functional - Information Management/Business information analysis/4-6 Years

Functional - Information Management//


Technical - Desktop Tools/Microsoft Visio/4-6 Years/End User

Technical - Desktop Tools/Microsoft SharePoint/4-6 Years/End User

Technical - Desktop Tools/Microsoft PowerPoint/4-6 Years/End User


General Business/Communicating for Impact/FOUNDATION

General Business/Demonstrating Business and Industry Acumen/ADVANCED

Leadership/Collaborating for Results/ADVANCED


General Business/Applying Reasoned Judgment/ADVANCED

Technology/Creating Technology Partnerships/ADVANCED

Technology/Justifying the Business Case/MASTERY

Telework Specifications:

Will honor current internal work arrangements. If this is an internal in office or external hire, in office at Moon or Cranberry township office location is required.


Medicare organization is growing and requires an individual that thrives in a fast-paced environment. There are several high visibility programs and projects across the organization that require an individual that enjoys being productive and challenged.

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: Information Technology