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

Care Management Associate

Primary Location: San Antonio, TX
Additional Locations: TX-San Antonio
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Description:
As a Care Management Associate, you will help support the Amazon In Touch Care Premier Dedicated team to provide comprehensive coordination of medical services for the membership.

Fundamental Components:
As part of the In Touch Care Dedicated team, your daily job functions will include:
  • answering incoming calls from providers and members regarding precertification or pre-registration for surgical procedures
  • coordinating with appropriate nurses
  • verifying eligibility
  • referring/transferring callers to appropriate departments/clinical staff
  • providing excellent customer service.
You will use Aetna's internal documentation system and other specialized software programs to enter data, research information and document your daily activities. The job responsibilities require the ability to learn multiple processes and complete them consistently, efficiently and in compliance with detailed policy & procedures.

Background Experience:
  • 2-4 years of telephonic customer service experience
  • computer literacy
  • basic knowledge of Microsoft Word / Excel / Outlook
  • superb ability to multitask and problem solve
  • knowledge of medical terminology
  • strong desire to provide the highest customer service experience possible


Additional Job Information:
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come. We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence. Together we will empower people to live healthier lives. Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities. We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

Required Skills:
Benefits Management - Interacting with Medical Professionals, Benefits Management - Promoting Health Information Technology, Service - Creating a Differentiated Service Experience

Desired Skills:
Benefits Management - Maximizing Healthcare Quality, Benefits Management - Promoting Health Information Technology, Benefits Management - Understanding Clinical Impacts

Functional Skills:
Administration / Operation - Data Entry, Administration / Operation - Telephone / Receptionist

Technology Experience:
Call Management - ACD (Automatic Call Distribution), Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft Word

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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