Aetna MDCR Retention Specialist in Boise, Idaho

Req ID: 52739BR


Medicare Member Experience is a start-up organization within the Medicare Service Operations department. We are looking for a candidate in the Greater Boise area Medicare market to serve as a champion and manage the Medicare Member Experience suite of initiatives. This position will focus on implementation and localization of the Member Experience operating plan initiatives. Medicare Regional Retention Specialist will interact with members, local community groups, provider groups and local Aetna resources to support the member experience.

Fundamental Components:

Accountable for leading select aspects of successful implementation of Member Experience programs at the local level

Includes establishing, influencing and managing internal cross-functional and external client relationships to ensure the effectiveness of program executions

Core Initiatives:

o Plans and presents at local member meetings, Provider offices and Health Fairs

o Visits high member saturated providers to ensure satisfaction

o Works with Aetna s fitness vendor on Fitness education outreach initiatives

o Disenrollment management working toward assigned matrix for retention

o Partners with Medical Management healthy outcome teamo Conduit between local customer service team and local sales team to work and follow-up on local member issues

o Represent the brand by engaging with members along their healthcare journey Collaborates with local customer service team to identify learning and continued education opportunities

o Develops local Member Retention materials and member event materials

o Collaborates with local sales team on Brand Ambassador program

Assist in quality assurance of annual Medicare Bid material Assist Director of Operations in various tasks related to Bid and local market strategies Supports and manages a number of pilot program opportunities at the local market. Participate in local community organizations to acquire knowledge and insight regarding the needs of our members Additional Tools, technology and Resources will be available to support the Member Experience initiatives. Reviews and approves all informational material to be distributed to members in concert with Medicare Communication Command Center

Develop and implement outreach strategies to Medicare members as needed


Demonstrated strategic & critical thinking skills as well as roll up your sleeves action

Good communication skills including written, verbal & presentation

Ability to work independently, honor commitments and collaborate with team members to create a remarkable member experience

Ability to influence diverse teams & build strong relationships

Desired: Appropriate state licensure to sell insurance as required, subject to product sold.-


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


Functional - Sales & Service/Account Management/1-3 Years

Functional - Communications/Member communications/1-3 Years

Functional - Products-Medical/Individual Medicare Advantage Plan/1-3 Years

Functional - Leadership/Lead a major product launch/1-3 Years


Technical - Desktop Tools/TE Microsoft Excel/1-3 Years/End User

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

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


General Business/Managing Sales Relationships/ADVANCED

Service/Knowing Customers/FOUNDATION Sales/Selling Products and Services/FOUNDATION


Leadership/Collaborating for Results/FOUNDATION

Leadership/Driving a Culture of Compliance/FOUNDATION


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 candidates'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: Sales and Service