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Supervisor of Plan Support

Primary Location: New York, NY
Additional Locations: NY-New York
Supervise individual units responsible for the implementation, preparation, processing, and maintenance of enrollment, billing, and other benefit plan information for members. Support and consult with team by utilizing Aetna policy guidelines in accordance with key performance measures to ensure accuracy and customer satisfaction.

Fundamental Components:
  • Supervises, mentors and directs a team responsible for plan administrative functions or functional support areas.
  • Develops, trains, evaluates, and coaches staff to provide cost effective decisions within Plan Sponsor Services or Implementation Services while ensuring operating standards are met; continually assesses individual and team performance against key business objectives and provides candid and timely developmental feedback.
  • Ensures policy and procedures associated with post implementation and on-going benefit administration services satisfy regulatory compliance requirements.
  • Coordinates research efforts and resolution for revenue adjustment issues; ensures modifications are reported accordingly.
  • Coordinates the collection and cancellation process for delinquent accounts in accordance with pre-established business procedures.
  • Evaluates customer billing requirements, payment arrangements and service history in order to deliver a timely and technically sound product; ensures remittances are posted accurately across various benefit designations and corresponding account structures.
  • Monitors and reports on the level of overall customer satisfaction against quality assurance, audit, and performance management initiatives; works to promote continuous process improvement relative to achieved results.
  • Acts as a liaison between staff and other areas, including management, plan sponsors, marketing, etc., communicating workflow results, ideas and solutions.
  • May direct the installation of new accounts and /or ongoing maintenance in support of department objectives.
  • Establishes a clear vision aligned with company values; motivates others to balance customer needs and business success

Background Experience:
  • Experience with New York State Medicaid Guidelines

Additional Job Information:
  • Experience with New York State Medicaid guidelines required
  • Takes personal accountability for results.
  • Strong leadership skills.
  • Strong verbal and written communication skills.
  • Negotiation skills.
  • Math and accounting skills helpful
  • Technical skills.
  • Problem solving skills.
  • Attention to detail and accuracy.
  • Analytical skills.

Functional Skills:
General Management - Data analysis & interpretation

Potential Telework Position:

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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