Aetna Retention Specialist in Boise, Idaho
Req ID: 50630BR
This position is based in our Seattle office with possibility of WAH.
Medicare Member Experience is a start-up organization within the Medicare Service Operations department. We are looking for a candidate in the Greater Seattle 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 local community groups and local Aetna resources to support the member experience. .
· 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 Trends and tracking of CTMs, Appeals, Grievance & Access to Care and establishes interventions/strategies to combat issueso Collaborates with our local customer service team to works and follow-up on local member issues o Collaborates with local customer service team to identify learning and continued education opportunities o Develops local Member Retention materials and member event materials o Plans and collaborates with local sales team on member meetings and Health Fairso Works with Aetna s fitness vendor on Fitness education outreach initiativeso Disenrollment management working toward assigned matrix for retentiono Partners with Medical Management – healthy outcome teamo Collaborates with local sales team on Brand Ambassador program · Supports and manages a number of pilot program opportunities at the local market. · Additional Tools, technology and Resources will be available to support the Member Experience initiatives.· Represent the brand by engaging with members along their healthcare journey· Participate in local community organizations to acquire knowledge and insight regarding the needs of our members· Review 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· Assist in quality assurance of annual Medicare Bid material· Assist Director of Operations in various tasks related to Bid and market strategies
2-5 years industry or customer service experience.
Multi-functional experience, e.g., underwriting
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.
Life & Health License preferred
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Sales & Service/Account Management/1-3 Years
Communications/Member communications/1-3 Years
Products-Medical/Individual Medicare Advantage Plan/1-3 Years
Leadership/Lead a major product launch/1-3 Years
TE Microsoft Excel/1-3 Years
Microsoft Outlook/1-3 Years
Microsoft PowerPoint/1-3 Years
Sales/Selling Products and Services
Leadership/Collaborating for Results
Leadership/Driving a Culture of Compliance
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: Sales and Service