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Aetna Pharmacy Benefit Technology Specialist in Phoenix, Arizona

Req ID: 66010BR

Job Description

Coordinate and represent business requirements related to pharmacy benefit system enhancements to support the coding of client benefit plans in Salesforce.com for claims adjudication. Ensure the end state of the enhancement meets the benefit and product business strategy and objectives, and that deliverables and due dates are met. This position is a key driver of our pharmacy benefit installation process success.

Fundamental Components included but are not limited to:

  • Responsible for communicating business requirements and participating in release meetings related to system enhancements for benefit plan installation

  • Partner with IT teams to ensure business requirements are appropriately translated into system requirements.

  • Build test plans, participate in UAT testing for system enhancements, document results and coordinates post-production checkout after each release

  • Proactively and independently leads projects by setting direction, creating project plan and timeline

  • Tracks progress and communicates status to pharmacy leadership on a regular basis

  • Participates as a member of a cross functional work team

  • Must be an independent worker with ability to handle assignments with little direction.

  • Must be able to handle multiple assignments/projects at the same time while ensuring completion of assignments according to established timelines

Qualifications Requirements and Preferences:

  • 3-5 years in depth knowledge of Aetna s Pharmacy products, services, and system capabilities

  • Experience related to system enhancements/implementation preferred

  • Project management experience preferred

  • Comprehensive knowledge of pharmacy benefit standards

  • Proven track record in meeting project milestones and negotiating for resources

  • Past positions required acting as a project lead and directing a team

  • Knowledge of Rx terminology and Saleforce.com

Functional Skills:

Customer Service - Customer Service - Plan Sponsor - Plan set-up - Traditional, Products-Other - Pharmacy, Project Management - Plan development

Technology Experience:

Aetna Application - Benefit Table Query, Aetna Application - Customer Coverage Inquiry (web)

Required Skills:

General Business - Applying Reasoned Judgment, General Business - Ensuring Project Discipline, Service - Working Across Boundaries

Desired Skills:

General Business - Communicating for Impact, General Business - Consulting for Solutions, Technology - Selecting and Applying Technology Solutions

Additional Job Information:

  • Strong analytical skills

  • Attention to detail and accuracy

  • Highly organized and able to handle changing priorities with high quality results

  • Ability to communicate effectively with management

Benefit Eligibility

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

Job Function: Management

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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