Aetna Stop Loss/Excess Loss Implementation Consultant in Hartford, Connecticut

Req ID: 37767BR

POSITION SUMMARY

The Risk Management Associate produces self-funded employer Stop Loss policies and manages the negotiation of policies by utilizing delegated response databases and selectively engaging Legal, the financial teams and other business decision makers in contract negotiations when standard responses are unavailable or will be insufficient.

Fundamental Components:

Produce and negotiate new Stop Loss policies for all Aetna business segments; Manage Stop Loss database of all new business as well as complete book of business for various areas within Aetna. Track revision activity and produce policy updates as necessary; Oversee implementation of all new Stop Loss cases including audit of quote documents, completion of implementation documents and compliance with Stop Loss state laws and regulations; Assist in the education of internal and external customers on Aetna Stop Loss processes based on compliance requirements and information received from subject matter experts; Manage or participate in ad hoc projects (claim override audits, implementation workgroups etc.).

BACKGROUND/EXPERIENCE desired:Experience in healthcare and/or Stop Loss contract drafting and negotiation; Excellent Microsoft Excel and Word skills; Excellent verbal and written communication skills; Time efficient and highly organized; Vigorous attention to detail.

EDUCATION

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

FUNCTIONAL EXPERIENCES

Functional - Products-Medical/All Aetna Standard Plans/1-3 Years

Functional - Products-Other/Medical/1-3 Years

TECHNOLOGY EXPERIENCES

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

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

REQUIRED SKILLS

Leadership/Driving a Culture of Compliance/FOUNDATION

DESIRED SKILLS

General Business/Communicating for Impact/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.

Job Function: Risk Management