Plan Coordination Consultant

Aetna in Bismarck, ND

  • Industry: Advertising/Marketing/Public Relations - Event Coordinator/Planner
  • Type: Full Time
  • $51,825.00 - 80,120.00
position filled
POSITION SUMMARYManages and coordinates benefit plan implementation for new and existing customers. Processes and coordinates all plan benefit changes and required structural and administrative updates into systems essential for on-line viewing, claim enrollment and billing purposes.Fundamental Components:Consults and communicates with internal constituents regarding the details associated with new business and revision activity in a timely manner and validates account structure.Completes timely and accurate set-up of complex account structure and detailed benefit plans in systems for multiple constituents in order to satisfy both internal and external deadlines for production impacting a wide variety products and services; May perform additional plan sponsor administration functions.Reviews benefit provisions to ensure compliance with state and Federal legislative mandates; evaluation process may also include assessment of summary plan descriptions and other related documents prepared by the plan sponsor or third party.Monitors and manages internal installation process and maintains case tracking tools to meet constituents expectations and business goals.Completes required data input into performance measurement systems in support of key business and management initiatives.BACKGROUND/EXPERIENCE desired:Strong organizational skillsExcellent verbal and written communication skillsAttention to detail and accuracyProblem solving skillsAnalytical skillsAbility to manage multiple prioritiesSuperior customer service skillsStrong team playerProduct knowledgeBasic experience in ExcelEDUCATIONThe minimum level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience.FUNCTIONAL EXPERIENCESFunctional - Customer Service/Customer Service - Plan Sponsor - Plan set-up - HMO/1+YearsFunctional - Customer Service/Customer Service - Plan Sponsor - Plan set-up - Traditional/1+ YearsTECHNOLOGY EXPERIENCESTechnical - Aetna Applications/Customer Coverage Inquiry (web)/1+ YearsREQUIRED SKILLSGeneral Business/Communicating for Impact/FOUNDATIONGeneral Business/Demonstrating Business and Industry Acumen/FOUNDATIONGeneral Business/Maximizing Work Practices/FOUNDATIONDESIRED SKILLSGeneral Business/Applying Reasoned Judgment/FOUNDATIONService/Improving constituent-focused Processes/FOUNDATIONService/Providing Solutions to Constituent Needs/ADVANCEDTelework Specifications:Work at home is only available for current WAH employees if the new positions telework criteria is met. Telework status may change, with advance notice, based on strategic business decisions.ADDITIONAL JOB INFORMATIONAetna 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.Employment Type Regular Career Band Description Business Support & TechnicalPosted by StartWire. Apply now!

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