Aetna Medicare Operations Cnslt - 42867BR in St Louis, Missouri

Req ID: 42867BR


Serves as subject matter expert for the implementation of Medicare Advantage activities and programs in the Eastern Missouri/South Central Illinois market. Provides guidance and consultation for new product startup, program design, regulatory compliance, member experience and more. Supports the market's operational team in their efforts to achieve their tactical business goals. Supports the Eastern Missouri/South Central Illinois CMS bid and related activities.

Fundamental Components:

Serves as local market subject matter expert on all things Medicare.

Assists with the execution of CMS required activities and processes including the accuracy and effectiveness of the annual bid submission , expansion planning and execution, and member communications.

Provides consultative support for Medicare product design.

Supports member retention activities, including development of outreach materials, design and implementation of outreach programs, and events planning.

Monitors sales and marketing activities to assure adherence to Federal and State regulations.


Previous experience (5-7 years) in Medicare Operations and/or Medicare compliance functions.

Ability to perform analysis to identify opportunities.

Excellent consulting and leadership skills.

Excellent communication, interpersonal and presentation skills.

Able to effectively coordinate multiple projects.

Proficiency with standard software, including MS Word, Excel, Outlook, and PowerPoint.


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


Functional - Planning/Strategic/7-10 Years

Functional - Communications/Communication Delivery - Public Speaking/4-6 Years

Functional - Legal/Product and regulatory filings/7-10 Years

Functional - Sales & Service/Strategy development/1-3 Years

Functional - Administration / Operations/Document production & distribution/4-6 Years


Technical - Desktop Tools/Microsoft Outlook/7-10 Years/End User

Technical - Desktop Tools/Microsoft PowerPoint/7-10 Years/End User

Technical - Desktop Tools/Microsoft Word/7-10 Years/End User

Technical - Desktop Tools/Microsoft SharePoint/4-6 Years/End User


Join our local Medicare team and join our Medicare members on their health care journey. Help us make a positive difference in the health care of the people we serve by using your skills to develop and execute member-centered solutions and products.

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