Aetna Medicare Operations Project Coordinator in Morrisville, North Carolina
Req ID: 43936BR
Candidates will be located near Morrisville, NC
Supports local market Medicare leadership on Medicare Advantage operational activities and programs across NC, SC, and TN markets. Accountable for and manages the development, implementation and ongoing maintenance of project(s).
Serves as subject matter expert for the operational functions of Medicare products within the MidSouth market. Assists with the execution of all CMS required activities and processes including the accuracy and compliance of the annual bid application, expansion application, member materials, and group setup. Provides consultative support for Medicare product design features, integration schedule, and operational readiness. Maintains an awareness of Medicare market trends, developments, and governmental regulations in Medicare and managed health care organizations.
3-5 years related work experience in Medicare Operations and/or Medicare compliance functions.
Familiarity with regulations and statutes impacting the managed care environment.
Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint
Able to effectively coordinate multiple projects and programs in a matrix environment
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Functional - Project Management//1-3 Years
Functional - Products-Medical/Medicare Advantage Prescription Drug Plan/1-3 Years
Technical - Desktop Tools/Microsoft PowerPoint/1-3 Years/
Technical - Desktop Tools/Microsoft Explorer/1-3 Years/
Option for telework will be evaluated after a certain period of employment.
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: Management