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Manager, Plan Sponsor Support

Primary Location: Newark, DE
Additional Locations: DE-Newark, PA-Harrisburg
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Description:
Responsible for the oversight of Business Information Management unit administering the implementation, preparation, processing, and maintenance of enrollment files, Coordination of Benefits coverage, vendor extract files, vendor oversight, limited reporting requirements and Quality Assurance Program.

Fundamental Components:
Manages cross-functional team of professionals overseeing business processes associated with eligibility/enrollment files, COB files, plan set-up, plan installation, Quality Assurance and general administration of account management.
Under the general direction of senior management, implements strategic and tactical plans in support of achieving targeted business objectives related to customer satisfaction, superior account management and cost effective service delivery.
Establishes and maintains strong, collaborative relationships with clients, other functional area managers, other cross-regional or interdepartmental areas to ensure all processes and workflow interdependencies are identified and addressed accordingly on an on-going basis.
Influences new membership growth and existing membership retention by implementing strategic member services or plan sponsor service initiatives.
Monitors and reports on customer satisfaction, quality assurance, audits, performance measures, and continuous process improvement.
Identifies and analyzes the impact from both upstream and downstream contributors to problems, and then partners extensively across business functions to proactively resolve developing service delivery issues.
Provides plan sponsors with required resources and guidance for making informed managed care plan design decisions and changes.
May act as the single point-of-contact for field sales, brokers, plan sponsors, and other internal/external parties throughout the case installation process; identifies and interprets plan sponsor benefit plan needs/requirements and takes appropriate action to avoid potential problems and ensures seamless plan integration.
Employs rigorous financial and value-based analysis to manage and enhance department profitability.

Background Experience:
Demonstrated leadership and problem solving abilities.
​Knowledge of as many of the following as possible: SQL, Agile, program implementation and migration, quality, ID cards, vendor management, RFP.
​College degree or equivalent experience.



Additional Job Information:
Ability to transform strategic plans into tactical operations.Effective verbal and written communication skills.

Required Skills:
Leadership - Collaborating for Results, Leadership - Creating Accountability, Leadership - Driving a Culture of Compliance

Desired Skills:
Service - Managing Organizational Dynamics, Service - Working Across Boundaries, Technology - Leveraging Technology

Functional Skills:
Administration / Operation - Management: < 25 employees, Communication - Employee communications, Information Technology - Testing, Information Technology - Vendor management

Technology Experience:
Database - SQL Server

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. 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)

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