Aetna Supervisor, Clinical Health Services in Atlanta, Georgia

Req ID: 44837BR

POSITION SUMMARY

Supervisor in the National Clinical Appeals Department- Medical Policy Operations. This position with Supervise staff in the coding and clinical mpo reviews.

Fundamental Components:

Supervise staff in their reviews of appeals. Collaborate with others in the department and outside the department in regards to appeals. Supervise the daily flow of appeals in order to keep compliance.

BACKGROUND/EXPERIENCE desired:

Appeals Experience needed

Coding/ Medical Policy experience needed

EDUCATION

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

LICENSES AND CERTIFICATIONS

Nursing/Registered Nurse is desired

Nursing/Physical Therapist is desired

FUNCTIONAL EXPERIENCES

Functional - Nursing//1-3 Years

Functional - Clinical / Medical/Clinical claim review & coding/1-3 Years

Telework Specifications:

Considered for current internal teleworkers

Will consider candidates form any of Aetna's main offices.

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: Health Care