Skip to main content

A new day in healthcare. Together, CVS Health and Aetna help people on their path to better health.

Supervisor, Plan Sponsor Support (61735BR)

Primary Location: Newark, Delaware
Additional Locations: DE-Newark
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:

Medicaid Claims, Customer Service or Eligibilty experience
Prior supervisory experience in fast paced, production environment,
Proven leadership skills
Effectively leads change

Additional Job Information:
Takes personal accountability for results.Strong leadership skills.Strong verbal and written communication skills.Negotiation skills.Math and accounting skills.Technical skills.Problem solving skills.Attention to detail and accuracy.Analytical skills.

Required Skills:
General Business - Communicating for Impact, Leadership - Collaborating for Results, Service - Demonstrating Service Discipline

Desired Skills:
Leadership - Driving Change, Leadership - Engaging and Developing People, Service - Improving Constituent-Focused Processes

Functional Skills:
Customer Service - Customer Service - Plan Sponsor - Enrollment - Traditional

Technology Experience:
Aetna Application - Alchemy Search, Aetna Application - QNXT, Database - Microsoft Access, Database - SQL Server

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)


Jobs for you

Recently Viewed Jobs

You do not have any recently viewed jobs

Your Saved Jobs

You do not have any saved jobs

Sign up for Job Alerts

Join our Talent Community

At Aetna, we are pioneering a total approach to health and wellness and we need talented candidates like you to join our team. Become a member of our talent community to be the first to know about career initiatives that match your skills and interests as they become available, in addition to details on upcoming events, networking opportunities, and news about Aetna.

Join Our Talent Community

Sign up to receive information about job openings that are tailored to your skills and interests. Plus, get the latest career news from Aetna.