Aetna Business Analyst in Phoenix, Arizona

Req ID: 55111BR

POSITION SUMMARY

This position supports Medicare Risk Adjustment activities in developing and maintaining business processes.

Fundamental Components:

This position resides within the Risk Adjustment Operations and will interface with vendors and other departments within Aetna. The position will be responsible for reconciling data from different sources regarding services provided by vendors, identifying gaps within the process, and help develop more efficient methods.

The position will also develop, share, and analyze compliance to business requirements.

The position will participate in system design and be involved in testing new functions as well as the support of auditing activities. To be successful, the candidate will use their knowledge and experience to create meaning from the data.

BACKGROUND/EXPERIENCE desired:

Must possess sound knowledge of structured IT application development lifecycles, methodologies inclusive of Use Case tools.

2+ years Business Analyst experience.

Must know SaaS and SQL.

Knowledge of Medicare Risk Adjustment methodology is also a plus.

Ability to document business processes as well as recommend and implement improvement strategies

Ability to perform testing functions

Participates in system design

EDUCATION

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

FUNCTIONAL EXPERIENCES

  • Information Management/Query and Database Access Tools/

  • Information Management/Business information analysis/

    TECHNOLOGY EXPERIENCES

  • Development Languages/SQL

    • Database/SQL Server
  • Reporting Tools/SAS

    REQUIRED SKILLS

    General Business/Applying Reasoned Judgment/FOUNDATION

    General Business/Demonstrating Business and Industry Acumen/ADVANCED

    General Business/Turning Data into Information/ADVANCED

    DESIRED SKILLS

    Technology/Selecting and Applying Technology Solutions/ADVANCED

    Technology/Leveraging Technology/ADVANCED

    ADDITIONAL JOB INFORMATION

    This position supports the technology and efficiency department within Medicare Risk Adjustment and activities. This position will offer the candidate multiple and various experiences as projects rarely follow the same format as the previous.

    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: Information Technology

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.