Skip to main content

A new day in healthcare. Together, CVS Health and Aetna help people on their path to better health.

Manager, Risk Adjustment Outreach

Primary Location: Hartford, Connecticut
Additional Locations: CT-Hartford
Apply
Description:

This position is responsible for provider/vendor/network outreach, productionmanagement, and reporting for the Risk Adjustment Retrospective Programs.



Fundamental Components:

This position performs complex assignments requiring advanced information reporting, analytical and communication skills. Will track and organize data, report information and apply to support planning/production management, issues identification & resolution, and results reporting. Will serve as a Subject Matter Expert for the unit participating in and supporting projects directed at utilizing information to engage providers, vendors, network associates to optimize risk adjustment revenue by obtaining member medical records. Will lead/support provider, market/territory, network, vendor meetings and ad hoc requests. Will work with Aetna Compliance/Legal to research compliance and vendor contracting issues as necessary.



Background Experience:

5+years finance related experience generally required, healthcare finance a plus.Excellent communication skills and negotiations skills Advanced MicrosoftExcel, SAS skills desired Advanced skills in turning data into information andapply judgement.



Additional Job Information:
Thisposition significantly impacts company results enabling Aetna to be competitivein the market place and effectively service its customers. Partners withbusiness owners to optimize and achieve business objectives, to include bothprofitable growth and improved organizational effectiveness.

Required Skills:
Finance - Delivering Profit and Performance, General Business - Communicating for Impact, General Business - Turning Data into Information

Desired Skills:
General Business - Applying Reasoned Judgment, Leadership - Driving a Culture of Compliance, Service - Improving Constituent-Focused Processes

Functional Skills:
Finance - Financial reporting and analysis, Management - Management - Data analysis and interpretation, Management - Management - Medicare

Technology Experience:
Desktop Tool - Microsoft PowerPoint, Desktop Tool - TE Microsoft Excel, Reporting Tool - SAS

Potential Telework Position:
No

Percent of Travel Required:
0 - 10%

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

Benefit Eligibility:
Benefit eligibility may vary by position. Click here to review the benefits associated with this 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.

Click To Review Our Benefits (PDF)

Apply

Jobs for you

Recently Viewed Jobs

You do not have any recently viewed jobs

Your Saved Jobs

You do not have any saved jobs

Sign up for Job Alerts

Join our Talent Community

At Aetna, we are pioneering a total approach to health and wellness and we need talented candidates like you to join our team. Become a member of our talent community to be the first to know about career initiatives that match your skills and interests as they become available, in addition to details on upcoming events, networking opportunities, and news about Aetna.

Join Our Talent Community

Sign up to receive information about job openings that are tailored to your skills and interests. Plus, get the latest career news from Aetna.