Aetna Pharmacy Benefit Technology Specialist in Phoenix, Arizona
Req ID: 66010BR
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
Customer Service - Customer Service - Plan Sponsor - Plan set-up - Traditional, Products-Other - Pharmacy, Project Management - Plan development
Aetna Application - Benefit Table Query, Aetna Application - Customer Coverage Inquiry (web)
General Business - Applying Reasoned Judgment, General Business - Ensuring Project Discipline, Service - Working Across Boundaries
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 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.