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Plan Builder
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | plymouth, Minnesota |
About this job
This is an office based position. Candidates must be commutable to one of the following offices: Plymouth, MN, Shreveport, LA, Evansville, IN, Minneapolis, MN, Okemos, MI, Amherst, NY
POSITION SUMMARY
Processes and coordinates all plan benefit changes and required structural and administrative updates into systems essential for on-line viewing and processing related to customer service, claim, enrollment and billing.
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 of products and services. May perform additional plan sponsor administrative functions. Reviews benefit provisions to ensure compliance with state and federal mandates. Evaluation process may also include assessment of summary plan descriptions and other related documents prepared internally or by clients. Monitors and manages internal installation process and maintains case tracking tools to meet constituents expectations and business goals.
BACKGROUND/EXPERIENCE
Strong organizational skills
Strong communication skills
Innovation and solution oriented
EDUCATION
The highest level of education desired for candidates in this position is a Associate's degree or equivalent experience.
FUNCTIONAL EXPERIENCES
Customer Service/Customer Service - Plan Sponsor - Account installation/1-3 Years
Claims/Claim processing - Medical - Behavioral Health/1-3 Years
Customer Service/Customer service - production environment/1-3 Years
REQUIRED SKILLS
General Business/Communicating for Impact
Leadership/Collaborating for Results
Service/Case Administration
DESIRED SKILLS
General Business/Applying Reasoned Judgment
Leadership/Driving a Culture of Compliance
Service/Providing Solutions to Constituent Needs
Telework Specifications:
Option for telework will be evaluated once training is complete and is based on performance and business need.
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.
Employment Type Regular Career Band Description Business Support & Technical
POSITION SUMMARY
Processes and coordinates all plan benefit changes and required structural and administrative updates into systems essential for on-line viewing and processing related to customer service, claim, enrollment and billing.
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 of products and services. May perform additional plan sponsor administrative functions. Reviews benefit provisions to ensure compliance with state and federal mandates. Evaluation process may also include assessment of summary plan descriptions and other related documents prepared internally or by clients. Monitors and manages internal installation process and maintains case tracking tools to meet constituents expectations and business goals.
BACKGROUND/EXPERIENCE
Strong organizational skills
Strong communication skills
Innovation and solution oriented
EDUCATION
The highest level of education desired for candidates in this position is a Associate's degree or equivalent experience.
FUNCTIONAL EXPERIENCES
Customer Service/Customer Service - Plan Sponsor - Account installation/1-3 Years
Claims/Claim processing - Medical - Behavioral Health/1-3 Years
Customer Service/Customer service - production environment/1-3 Years
REQUIRED SKILLS
General Business/Communicating for Impact
Leadership/Collaborating for Results
Service/Case Administration
DESIRED SKILLS
General Business/Applying Reasoned Judgment
Leadership/Driving a Culture of Compliance
Service/Providing Solutions to Constituent Needs
Telework Specifications:
Option for telework will be evaluated once training is complete and is based on performance and business need.
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.
Employment Type Regular Career Band Description Business Support & Technical