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A strong identity recognized globally, which makes diversity its strong point. People have a lot of questions from work from home jobs. This commit does not belong to any branch on this repository, and may belong to a fork outside of the repository.
Candidate will provide member care and customer service. Will build relationships with members, help with navigation of healthcare system, and connect member with resources. Manage patient cases to ensure quality and medical appropriateness.
aetna commitment
Senior Claims Benefit Specialist is needed for a remote role. He/She will review and adjudicate complex, sensitive, and/or specialized claims in accordance with processing guidelines. At least 2 years of relevant experience is required. Design conceptual models, handle clinical initiative planning, ongoing client relationship management, and provide guidance to internal/external partners and vendors.
The remote customer service rep will support specialty pharmacy patients by assisting with prescription refills & answering order or insurance inquiries. Qualifications include a HS diploma or the equivalent & a year of customer service experience. Collaborate across teams, report analytical findings, make recommendations and analyze and synthesis high volumes of complicated data into significant insights and current data. 1+ years of relevant experience is sought.
Employer Resources
We help people navigate the health care system — and their personal health care — by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day. Aetna, a CVS Health company, is an equal opportunity/affirmative action employer. Gender/Minority/Disability/Protected Veteran — committed to diversity in the workplace. We include these past jobs as a way for you to explore what kinds of remote and flexible jobs Aetna has hired for in the past and might be likely to hire for again in the future. Displayed here are Job Ads that match your query.
Will collect requirements, collaborate with team, lead solution development and create business models. High school diploma and 8+ years' related experience required. The sr. claims data specialist will handle claim data management processes, help create product offerings, & lead process improvements. Requires at least three years' claim processing experience & a year of recent customer service exp. Remote in pandemic, 2nd shift hours.
Member Retention Manager -Remote Opportunity
Respond to inbound calls and live chat from healthcare customers, provide information about company services, and resolve customer service questions. Requires 1 year customer service experience and Spanish fluency. Duties include monitoring team attendance, hiring & managing the performance of team members, compiling performance reviews, and providing support to other departments as needed.
Work remotely during CST or EST and travel to Falls Church, VA or Minneapolis, MN. You will assess members, coordinate care, review claims, and maximize member engagement for best outcomes. Requires an active RN license, 5+ years of clinical practice experience, your own vehicle, and a valid license. Telecommute with significant travel. Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.
Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. 6+ months of general work experience. Prefer three months of work computer experience. Prefer six months work experience in a pick/pack/ship. As an Aetna International, a CVS Health company, employee you will be at the center of it all. Stay in touch with our International recruiting team on social media.
BA degree required and five years of experience. Full-time position starting out working remotely. Duties include assessing member needs, planning, implementing, & coordinating case management activities, reviewing prior claims, and meeting goals & objectives. Be responsible for the Emerging Technology and Audit Automation strategy to deliver a best-in-class audit program. Must have a bachelor's degree, RN, and 5+ years healthcare/managed care experience. We are an equal opportunity and affirmative action employer.
For Aetna Group, promoting the well-being of its workers means contributing positively to their quality of life with services and activities in line with their real needs. Needs to review the security of your connection before proceeding.
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