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Plan Coordination Consultant

POSITION SUMMARY
Manages 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 skills
Excellent verbal and written communication skills
Attention to detail and accuracy
Problem solving skills
Analytical skills
Ability to manage multiple priorities
Superior customer service skills
Strong team player
Product knowledge
Basic experience in Excel
EDUCATION
The minimum level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience.
FUNCTIONAL EXPERIENCES
Functional - Customer Service/Customer Service - Plan Sponsor - Plan set-up - HMO/1+Years
Functional - Customer Service/Customer Service - Plan Sponsor - Plan set-up - Traditional/1+ Years
TECHNOLOGY EXPERIENCES
Technical - Aetna Applications/Customer Coverage Inquiry (web)/1+ Years
REQUIRED SKILLS
General Business/Communicating for Impact/FOUNDATION
General Business/Demonstrating Business and Industry Acumen/FOUNDATION
General Business/Maximizing Work Practices/FOUNDATION
DESIRED SKILLS
General Business/Applying Reasoned Judgment/FOUNDATION
Service/Improving constituent-focused Processes/FOUNDATION
Service/Providing Solutions to Constituent Needs/ADVANCED
Telework 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 INFORMATION
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.
Employment Type Regular Career Band Description Business Support & Technical

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