Aetna Senior Plan Coord Consultant in Sunrise, Florida

Req ID: 49855BR

POSITION SUMMARY

Manages and coordinates benefit plan implementation for new and existing customers. Provides focused service from pre-sale consultation through initial post-sale client administration fostering strong, long-term partnerships with customers and consulting community.

Fundamental Components:

Analyzes and determine if products and services selected by customers are aligned with their benefit needs, and can be adequately supported through existing systems or operating platforms; alternatively, seeks solutions and negotiates essential requirements in support of any non-standard plan selections. (*)

Actively consults and communicates with internal constituents regarding the details associated with new business and revision activity in a timely manner and validates account structure. (*)

Completes timely and accurate set-up of complex account structure and detailed benefit plans in systems for multiple constituents meeting internal/external deadlines for production of various products and services. (*)

Reviews benefits to ensure compliance with state and Federal legislative mandates; partners with consultants, brokers, third party administrators (TPA) and others to review plan sponsor benefits and structure. (*)

Continually monitors case installation process and communicates status to internal/external constituents as appropriate; may act as an implementation manager preparing installation timelines and/or work plans, maintaining case tracking tools, monitoring and managing internal installation process. (*)

Provides technical expertise to team/unit, mentors junior staff members, and assists with the development and implementation of training tools/ids and processes.

BACKGROUND/EXPERIENCE:

Benefit Knowledge is required

Attention to detail and accuracy.

Problem solving skills.

Analytical skills.

Excellent verbal and written communication skills.

Ability to manage multiple priorities.

Superior customer service skills.

Strong team player.

EDUCATION

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

FUNCTIONAL EXPERIENCES

FunctionalExperience/FunctionalFocus/1-3 Years

TECHNOLOGY EXPERIENCES

Technical - Aetna Applications/Policy Entry Reporting System/1-3 Years/Power User

REQUIRED SKILLS

General Business/Applying Reasoned Judgment/ADVANCED

General Business/Communicating for Impact/ADVANCED

Service/Providing Solutions to Constituent Needs/ADVANCED

DESIRED SKILLS

Leadership/Collaborating for Results/FOUNDATION

Leadership/Driving a Culture of Compliance/ADVANCED

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: Customer Service