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We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Job Responsibility
Controls all aspects of customer benefits plan implementation
Communicates with stakeholders internally and externally to proactively identify and address critical implementation issues ensuring customer expectations are consistently satisfied or exceeded
Responsible for directing all aspects of customer benefit plan implementation
Partners with all key stakeholders (i.e., sales/service staff, consultants, plan sponsors, and other internal business units) to proactively identify and address critical implementation issues ensuring customer expectations are consistently satisfied or exceeded
Leads process improvement efforts to promote on-going enhancements to program installation
Mediates and coordinates resolution of all project deliverables and implementation related issues
Develops and executes implementation strategy consistent with customer expectations
Ensures strategy is administered in accordance with all performance guarantee arrangements
Effectively manages implementation team dynamics and provides direction/coaching to fellow team members ensuring success of the overall implementation process
Collaborates on review, analysis and development of recommendations for the design of complex account and benefit structures based on customers’ objectives and Aetna’s systems, administration and reporting requirements
Solicits and assesses internal and external customer feedback to enhance continuous quality improvement on the implementation process (i.e., systems, resources, tools, etc.)
Identifies gaps and recommends enhancements related to new and/or existing products, services and workflows based on a broad view of the organization
Provides consultative support to customers to identify administrative and operational efficiencies resulting in potential financial savings for both Aetna and clients
Leads critical initiatives that contribute to the development of new or updated implementation tools, resources and materials
Participates in the development and introduction of new products, and identifies the potential impact to workflows and the overall implementation process
May be responsible for defining, developing and implementing new or redesigned process workflows in support of new products
Furnishes essential feedback on the effect new products lend to the implementation process
May assist with the selection of implementation staff and the development of training activities
Mentors and coaches new/junior staff members
Requirements
3-5 years in depth knowledge of healthcare industry experience
3 + years Project management and leadership experience
Experience preparing and delivering presentations
Experience interacting with various levels of the organization to effectively influence others and achieve optimal results
Proficient in Microsoft (pivot tools, excel, PP presentations)
Bachelors preferred or equivalent work experience
Nice to have
5-7 years of in depth knowledge of healthcare, PBM, Account Management
Medicare experience
Knowledge of Claims and Benefits Testing/Processing