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Provider Relations Representative

Primary Location: Dallas, TX
Additional Locations: TX-Dallas
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Description:
Acts as the primary resource for assigned, high profile providers or groups (i.e. local, individual providers, small groups/systems) to establish, oversee, and maintain positive relationships by assisting with or responding to complex issues regarding policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education needs.

Fundamental Components:
Role is self-managed--ideal candidate must be a problem-solver and have excellent time management skills. Must be able to prioritize and move issues to resolution. Department is fast-paced and team-based. Candidate should be able to work well with others and focus on building relationships.

Background Experience:
  • 3+ years' experience in business segment environment servicing providers with exposure to benefits and/or contract interpretation.
  • 3-5 years' experience with business segment specific policy, benefits, plandesign and language.
  • Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills.
  • Working knowledge of business segment specific codes, products, and terminology.
  • Bachelor’s Degree or equivalent combination of education and experience.


Required Skills:
General Business - Communicating for Impact, Leadership - Collaborating for Results, Service - Creating a Differentiated Service Experience

Desired Skills:
Leadership - Creating a World Class Workforce, Service - Improving Constituent-Focused Processes, Technology - Leveraging Technology

Potential Telework Position:
No

Percent of Travel Required:
10 - 25%

EEO Statement:
Aetna is an Equal Opportunity, Affirmative Action Employer

Benefit Eligibility:
Benefit eligibility may vary by position.

Candidate Privacy Information:
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.

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