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Aetna is now a CVS Health Company

Manager, Plan Sponsor Support

Primary Location: Newark, DE
Additional Locations: DE-Newark, PA-Harrisburg
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Description:
Responsible for the oversight of unit administering the implementation, preparation, processing, and maintenance of enrollment, billing, and other benefit plan information of both new and current members.

Fundamental Components:
  • Manages cross-functional team of professionals overseeing business processes associated with billing and A/R activities, eligibility/enrollment, plan set-up, benefit drafting, plan installation, cash control, 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 inter-departmental 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 ensure seamless plan integration.
  • Employs rigorous financial and value based analysis to manage and enhance department profitability. (*)


Background Experience:
  • Demonstrated leadership and problem solving abilities.
  • College degree or equivalent work experience.
  • Ability to transform strategic plans into tactical operations.
  • Effective verbal and written communication skills.


Required Skills:
General Business - Communicating for Impact, General Business - Maximizing Work Practices, Leadership - Collaborating for Results

Desired Skills:
Leadership - Creating Accountability, Leadership - Driving Change, Leadership - Engaging and Developing People

Functional Skills:
Communication - Employee communications, Communication - Management: > 25 employees, Management - Management - Operations, Management - Management - Quality

Technology Experience:
Aetna Application - HMO Enrollment, Aetna Application - QNXT

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)

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