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Job Information

Aetna Manager, Risk Adjustment Outreach - 60992BR in Hartford, Connecticut

Req ID: 60992BR

Job Description

This position is responsible for provider/vendor/network outreach, productionmanagement, and reporting for the Risk Adjustment Retrospective Programs.

Fundamental Components included but are not limited to:

This position performs complex assignments requiring advanced information reporting, analytical and communication skills. Will track and organize data, report information and apply to support planning/production management, issues identification & resolution, and results reporting. Will serve as a Subject Matter Expert for the unit participating in and supporting projects directed at utilizing information to engage providers, vendors, network associates to optimize risk adjustment revenue by obtaining member medical records. Will lead/support provider, market/territory, network, vendor meetings and ad hoc requests. Will work with Aetna Compliance/Legal to research compliance and vendor contracting issues as necessary.

Qualifications Requirements and Preferences:

5+years finance related experience generally required, healthcare finance a plus.Excellent communication skills and negotiations skills Advanced MicrosoftExcel, SAS skills desired Advanced skills in turning data into information andapply judgement.

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Functional Skills:

Finance - Financial reporting and analysis, Management - Management - Data analysis and interpretation, Management - Management - Medicare

Technology Experience:

Desktop Tool - Microsoft PowerPoint, Desktop Tool - TE Microsoft Excel, Reporting Tool - SAS

Required Skills:

Finance - Delivering Profit and Performance, General Business - Communicating for Impact, General Business - Turning Data into Information

Desired Skills:

General Business - Applying Reasoned Judgment, Leadership - Driving a Culture of Compliance, Service - Improving Constituent-Focused Processes

Additional Job Information:

Thisposition significantly impacts company results enabling Aetna to be competitivein the market place and effectively service its customers. Partners withbusiness owners to optimize and achieve business objectives, to include bothprofitable growth and improved organizational effectiveness.

Benefit Eligibility

Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Job Function: Financial Services

Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.

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