Aetna Medicare Letter Consultant in Moon township, Pennsylvania
Req ID: 49792BR
Provides support and maintenance for all Medicare related member communication templates to ensure that CMS guidelines are followed to ensure that members receive timely and accurate Medicare enrollment related communications. Assists in the development of and participates in the presentation to existing and prospective customers and internal business areas related to CMS member communications. Works together with a team to collaborate on processes, projects and analysis of information used to ensure accuracy and compliance surrounding CMS required member communications.
With direction, supports one or more processes related to the use of applicable tools that deliver business solutions regarding notifications sent to Medicare members. Serves as a team member and contributes to activities such as analysis, planning, design, development, testing, installation and maintenance of support systems and workflows for multiple business areas. Works well in a team setting and collaborates closely with team members regarding multiple processes and projects related to Medicare member communications. Must be extremely detail oriented and able to work towards a timely goal. Provides workgroup support related to Medicare enrollment letter related projects. Supports implementation and rollout of CMS mandated communications to Medicare members. Creates vendor/customer specifications based on business needs and requests from multiple business areas. Works in a very timely manner to ensure that all assignments are completed on time and that follow up actions are taken to ensure assignments are being handled timely and appropriately. Ensure that letters created from processing tasks are reviewed for accuracy Support the review and update of all Medicare Enrollment related policies and procedures to ensure that all business practices related to the Medicare Enrollment business area are documented accurately. Ensure that accurate and timely information is provided to individuals who may request support of have questions in reference to the Medicare Letter Templates or processes that are support by the team. Provides analysis of business implications and applies problem solving skills to meet business needs. Where appropriate, uses consistent definitions and methodologies. Creatively translates information using business knowledge and identify additional information needed to support analytical objectives. Interacts with internal/external customers to define/develop Medicare letter templates and requirements. Assists in training customers on use of data and data applications. Understand nuances of data, checks for reasonability and works to improve data quality.
Working knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook) and Internet Explorer required
Knowledge of CMS Guidance Chapter 2 (Medicare Advantage Enrollment and Disenrollment) and Chapter 3 (Medicare Part D Enrollment and Disenrollment) highly preferred
Knowledge of all types of managed care products including HMO, PPO, and Medicare Part D preferred
Strong organizational skills.
Strong sense of teamwork and collaboration.
Excellent verbal and written communication skills.
The highest level of education desired for candidates in this position is a Associate's degree or equivalent experience.
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ADDITIONAL JOB INFORMATION
This is a fast pace position and is all about teamwork and ensuring that all of the processes and letters that we work with are compliant and running efficiently. This position will allow you to collaborate with other business areas and provide a way to become familiar with the different functional Medicare business areas.
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: Health Care