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Sr Plan Coord Consultant

Primary Location: High Point, North Carolina
Additional Locations: AZ-Scottsdale, CA-Fresno, CT-Hartford, FL-Jacksonville, FL-Sunrise, NC-High Point, ND-Bismarck, NY-Albany, OH-New Albany, PA-Allentown, PA-Blue Bell, PA-Harrisburg, PA-Moon township, TX-Arlington, TX-San Antonio, UT-Sandy

Acts a single point-of-contact in support pf timely and accurate customer installations. Processes and coordinates all plan benefit changes and required structural and administrative updates into systems essential for on-line viewing, claim enrollment and billing purposes.

Fundamental Components:

Analyzes and determine if products and services selected by customers are aligned with their benefit needs, and can be adequately supported through existing systems or operating platforms; alternatively, seeks solutions and negotiates essential requirements in support of any non-standard plan selections. (*)
Actively consults and communicates with internal constituents regarding the details associated with new business and revision activity in a timely manner and validates account structure. (*)
Completes timely and accurate set-up of complex account structure and detailed benefit plans in systems for multiple constituents meeting internal/external deadlines for production of various products and services. (*)
Reviews benefits to ensure compliance with state and Federal legislative mandates; partners with consultants, brokers, third party administrators (TPA) and others to review plan sponsor benefits and structure. (*)
Assists with the development and testing of new or enhanced product offerings. (*)
Provides technical expertise to team/unit, mentors junior staff members, and assists with the development and implementation of training tools/ids and processes.

Background Experience:

Attention to detail and accuracy.
Problem solving skills.
Analytical skills.
Excellent verbal and written communication skills.
Ability to manage multiple priorities.
Superior customer service skills.
Strong team player.
Product knowledge

Additional Job Information:

The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

Functional - Products-Medical//4-6 Years
Functional_Experience/Functional_Focus/1-3 Years

Technical - Aetna Applications/Policy Entry Reporting System/1-3 Years/Power User
Technical - Aetna Applications/Customer Coverage Inquiry (web)/1-3 Years/Power User

General Business/Applying Reasoned Judgment/ADVANCED
Leadership/Creating Accountability/FOUNDATION

Leadership/Driving a Culture of Compliance/ADVANCED
Service/Providing Solutions to Constituent Needs/ADVANCED

Technology Experience:
Aetna Application - Policy Entry Reporting System

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. 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

Click To Review Our Benefits (PDF)


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