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Senior Product Configuration Consultant (Telework)

Primary Location: Hartford, CT
Additional Locations: CT-Hartford, PA-Blue Bell
Provides support for significant Medicare product and benefit initiatives. This includes new product offerings as well as support for business migrating from legacy platforms.

May independently manage midsize product enhancements.

Demonstrated analysis and critical thinking and skills, with strong knowledge of product and benefit plan configuration on a business owned and maintained platform. Ideal candidates understand the interaction of benefits, provider networks and claims adjudication outcomes.

Fundamental Components:
(*) Communicates product features and fundamental components to the organization that reflects the product and responds to the needs of various “stakeholders” (i.e., employees, customers, shareholders) while communicating the need and rationale for policies and standards.

(*) Represents Medicare NextGen Product and Benefit Configuration capabilities and strategy in cross functional meetings and related project activities, e.g. Medicare Product and Marketplace Offerings for Individual and Group bid filings, Legislative Review Committee, and Operational Support areas.

(*) Collaborates with market segments to develop and implement plans and product features to achieve segment product strategies and achieve marketplace advantage.

(*) Serves as project manager and/or participant for selected projects.

(*) Independently manages mid-sized product enhancements, including defining new enhancement requirements and feature with the application vendor.

(*) Ensures that the Product & Benefit configurations are designed, developed, implemented and maintained from a product and business/customer point of view.

(*) Ensures maximum reusability across standard plans and offerings to enable efficiency and accuracy in delivery and speed to market.

(*) Performs research and analysis on legislative, competitive and industry issues to recommend new products or product enhancements.

(*) Participates in idea generation and project vision session for the development of new products and product enhancements.

(*) Gathers and analyzes feedback in support of performance analysis for products and continual improvement.

(*) Participates and/or facilitates cross enterprise work group sessions to support individual and group bid process and subsequent delivery of Medicare products and benefit plans for Open Enrollment and claims adjudication and servicing.

This is a work at home position and can be worked from any U.S. location. Training period in the office may be required.

Background Experience:
(*) 3-5 years experience with Project Management skills.

(*) In-depth understanding of the Medicare regulatory environment, and impacts to benefits and claims adjudications.

(*) Knowledge of claim handling and associated processes such as provider contracting.

(*) Strong analytical skills.

(*) Proficiency with Excel.

(*) Bachelor's degree or equivalent experience.

Additional Job Information:
Project management skills. In-depth understanding of the Medicare regulatory environment, and impacts to benefits and claims adjudication.

Required Skills:
Benefits Management - Shaping the Healthcare System, General Business - Ensuring Project Discipline, Service - Providing Solutions to Constituent Needs

Desired Skills:
General Business - Consulting for Solutions, General Business - Demonstrating Business and Industry Acumen

Functional Skills:
Claim - Claim processing - Dental, Claim - Claim processing - Medical - Medicare, Management - Management - Provider Data, Products-Dental - All Aetna Dental Products, Products-Medical - All Aetna Medicare Group Plans, Products-Medical - All Individual Medicare Plans

Technology Experience:
Aetna Application - Aetna Dental, Aetna Application - Groups/Renewals, Aetna Application - HMO Claims Processing System, Aetna Application - Service Codes and Service Rates

Project Management - Project Management Professional (PMP)

Potential Telework Position:

Percent of Travel Required:
0 - 10%

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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