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Participates on a highly collaborative team responsible for payment integrity for both commercial and Medicare provider claims. Contributes to the development and maintenance of best practices for developing business rules. Leads delivery of individual algorithm projects, interacting directly with other teams within Aetna. May act as project lead for complex projects involving multiple resources a
Posted Today
This position handles customer service inquiries and problems via telephone, internet or written correspondence. Customer inquiries are of basic and routine nature. Fundamental Components Handle incoming calls from members and providers regarding claims status, benefits and eligibility, PPO participation, etc Maintain department established performance metrics at a meets or exceeds expectations le
Posted Today
The Aetna Enterprise Brand Content Marketing team is seeking a creative storyteller and strategic thinker who is passionate about content and the role that it can play in moving our brand forward. The Director, Editorial Strategy is a new position within a growing Content Marketing team at Aetna, and will serve a critical leadership role in the development, management and execution of the branded
Posted Today
Aetna Inc
- Phoenix, AZ / Denver, CO / Tampa, FL / 4 more...
POSITION SUMMARY (Position can work out of any Aetna/Meritain office) Highly visible new role within Meritain Risk Managements Global Solutions team responsible for engaging with management and key constituents of the organization to transform data into useful information. Responsible for building sustainable reporting mechanisms to empower forward progress and enable transparency against delivera
Posted Today
Participates on a highly collaborative team responsible for payment integrity for both commercial and Medicare provider claims. Contributes to the development and maintenance of best practices for developing business rules. Leads delivery of individual algorithm projects, interacting directly with other teams within Aetna. May act as project lead for complex projects involving multiple resources a
Posted Today
Looking for opportunities to use cutting edge technologies analyzing petabytes of data in a world class Hadoop cluster finding useful insights and innovative ways to guide consumers in their journey to wellness and helping them achieve their health ambitions whether its playing tackle football with their grandkids or running the Inca Trail Marathon? Aetna's Member Analytics team is focused on deli
Posted 2 days ago
Aetna Inc
- Hartford, CT / Wellesley, MA / New York, NY
For the newly formed Clinical Services and Solutions Transformation and Project Management Office Oversees the implementation of information strategy and development of information products to ensure operational objectives and other strategic business initiatives are met. Responsible for managing multiple projects and ensuring day to day project activities runs smoothly. Project and Product Manage
Posted 2 days ago
Aetna Inc
- Scottsdale, AZ / Fresno, CA / Jacksonville, FL / 10 more...
Proactively defines, identifies, develops and implements information products to support business strategic and operational planning. Assists in the development of and participates in the presentation to existing and prospective customers and internal business areas. Fundamental Components With direction, supports one or more processes related to the use of applicable tools that deliver business s
Posted 2 days ago
Aetna Inc
- Hartford, CT / Albany, NY / Blue Bell, PA
This position is for a Registered Nurse (RN) Care Manager for a high performing team called the Custom Care Management Unit. Care Manager will collaboratively be working with Willis Towers Watson and utilize a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individuals benefit plan and/or health needs through communication and available
Posted 2 days ago
Aetna Inc
- Hartford, CT / Wellesley, MA / New York, NY
Leads and participates in the design, built and management of large scale data structures and pipelines and efficient Extract/Load/Transform (ETL) workflows. Fundamental Components Develops large scale data structures and pipelines to organize, collect and standardize data that helps generate insights and addresses reporting needs. Writes ETL (Extract / Transform / Load) processes, designs databas
Posted 2 days ago
Aetna Inc
- Wellesley, MA / New York, NY
Looking for opportunities to use cutting edge technologies analyzing petabytes of data in a world class Hadoop cluster finding useful insights and innovative ways to guide consumers in their journey to wellness and helping them achieve their health ambitions whether its playing tackle football with their grandkids or running the Inca Trail Marathon? Aetna's Consumer Engagement Team is focused on d
Posted 2 days ago
Aetna Inc
- Hartford, CT / New York, NY
The position will work with a cross functional team, delivering analytical projects related to customer behavior insights/engagement, segmentation, targeting, customer life time value, partnering with internal and external clients to solve important health care challenges. The role will be responsible for extraction and manipulation of data from multiple, large data sources and using the data to d
Posted 2 days ago
Family Summary/Mission Creates implements and evaluates training tools and programs to support the development of the skills and competencies Aetna employees require to effectively achieve Aetna's business goals. Position Summary/Mission Develop and execute a training strategy to support the mission and business goals of the business segment or shared service area to which the training group is al
Posted 3 days ago
Owns the development and implementation of marketing programs for a key account including B2B client management and communication Influencer communications B2C journey and acquisition Fundamental Components Defines the Plan Sponsor and member experience for a critical Group Retiree customer Organizes annual acquisition efforts including all materials and promotions Leads the customization of all m
Posted 3 days ago
Aetna Inc
- Hartford, CT / Wellesley, MA / New York, NY
As a member of the Vice President of Government Marketings Leadership Team, the Executive Director of Medicare IVL Marketing will serve as a key member of the team charged with developing distinctive marketing strategies for the Medicare IVL (MAPD) business and customers, strengthening Aetnas appeal to Medicare eligible prospects for acquisition, and current Aetna MAPD members for retention. This
Posted 3 days ago
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