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Information Technology

Aetna IT is committed to keeping our members at the heart of everything we do. Our top-talent workforce delivers leading-edge technology, drives innovation, turns vision into action and challenges the art of the possible. We provide best-in-class services to our members by delivering groundbreaking healthcare tools, enabling consumer-friendly interactions and protecting data security. Your mission will be to deliver innovating technology solutions including: Hybrid cloud infrastructure, artificial intelligence/machine learning capabilities and infrastructure as code.

Aetna, a CVS Health Company, is a company with a world-class IT team and we will be counting on you to carry on our success as the preferred provider of infrastructure services for our business partners.

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Success Profile

What makes a successful Information Technologist?
Here are the traits we are looking for:

  • Adaptable
  • Collaborative
  • Communicator
  • Digitally Savvy
  • Good Listener
  • Problem-solver
  • Results Driven
  • Team Player
  • Technologically savvy
  • Versatile
  • Relationship expertise
  • Diplomatic
  • Trustworthy
  • Business Savvy

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  • Medical

  • Dental

  • Vision

  • Healthcare

  • Dependent
    Care FSA

  • Health and

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Job Details

Encounters Data Analyst

Primary Location: Overland Park, Kansas
Additional Locations: KS-Overland Park
Performs ad-hoc reporting for the business utilizing SQL, SSRS, and Excel. Creates and executes specific deliverables and activities to ensure encounter data submission accuracy. Key contributor to overall encounter submission and acceptance rates.

Fundamental Components:
  • Analyze Medicaid enrollment, provider and claims data, and document requirements
  • Identify and document data anomalies and collaborate with cross functional teams for effective resolution
  • Able to juggle multiple priorities and ensure availability to questions and clarifications from data analysts
  • Performs custom analysis of integrated healthcare data, interprets results, and makes recommendations based on analytic findings to business areas
  • Collaborate with other departments to ensure accurate data submission
  • Liaison with regulatory agencies to maintain the organizations adherence to health plan data submission requirements
  • Responsible for auditing the claims payment system and supporting the design and infrastructure of the system configuration
  • Presents analytic reports to clients and stakeholders
  • Defines and delivers analytical solutions in support of healthcare business initiatives that drive short and long term objectives
  • Collaborates with internal and external partners in the design and execution of claims payment systems
  • Identify and analyze user requirements, procedures, and problems to improve existing processes
  • Develop and incorporate organizational best practices into business applications
  • Lead problem solving and coordination efforts between various business units
  • Assist with formulating and updating departmental policies and procedures

Background Experience:
  • 3+ years Data Analyst experience (i.e. documenting business process, gathering requirements)
  • Experience in healthcare industry or 1+ years of managed care encounters experience
  • Advanced knowledge of Microsoft Applications, including Excel
  • Knowledge of claims and/or encounter processing and data analysis experience preferred
  • Understanding of HIPAA X12 transactions (i.e. 837, 999, 824, 277) preferred
  • Knowledge of managed care information systems and experience in SQL scripting preferred

Clinical Licensure:

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.

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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