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The Project Manager will lead and support initiatives focused on member communications, claim payment and product, and operational excellence. This role partners cross-functionally with multiple business partners and vendor teams to drive improvements in outreach, reporting, and member experience.
Job Responsibility:
Lead and support initiatives focused on member communications, claim payment and product, and operational excellence
Partner cross-functionally with multiple business partners and vendor teams to drive improvements in outreach, reporting, and member experience
Collaborate with Marketing and Digital teams to assess current processes and use analytics to recommend future improvements
Review and optimize outreach processes, including call volume, member satisfaction rates, and effectiveness
Recommend and implement best practices for communication channels and outreach volume
Create long-term recommendations for communication prioritization and arbitration needs
support communication personalization strategy
Measure and communicate the impact of solutions to leadership
Track daily, weekly, and monthly activity
identify outliers and assist with variance reporting
Ensure timely execution and utilization of data extracts and automation reports for analysis
Provide business operational support for Aetna's communication applications including reporting, customer service, taxonomy integrity, and security access
Partner with Legal and Compliance to address regulatory changes impacting member/provider payment and communications
Provide communication applications and product and payment feature updates and support user testing
Requirements:
Project Management: Ability to manage multiple projects and deliverables in a fast-paced environment
Analytical Skills: Strong data analysis and reporting capabilities
experience with variance reporting and identifying operational outliers
Communication: Excellent written and verbal communication skills, including experience with plain language writing for member communications
Stakeholder Management: Ability to collaborate with cross-functional teams (Marketing, Digital, Legal, Compliance, Vendors)
Process Improvement: Experience reviewing and optimizing outreach and engagement processes
Technical Acumen: Familiarity with digital platforms, mobile apps, AI, MS Office Suite, and communication tracking tools
Bachelor's Degree or Equivalent
Nice to have:
Bachelor's degree in Business, Communications, Healthcare Administration, or related field
Experience in healthcare, insurance, or member services environments
Advanced proficiency in data analytics tools (e.g., Excel, Tableau, QuickBase, Archer, Power BI)
Demonstrated success in driving member satisfaction and engagement improvements
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