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

Plan Sponsor Services (PSS) Manager

Primary Location: Singapore
Additional Locations: SGP-Singapore
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Description:
Job Group Summary

Customer Service is the important first-line of contact with customers, setting the tone for how members, doctors and plan sponsor groups view our company. It provides members with the right information at the right time to help them make better decisions about their health and health care.

Family Summary/Mission

Provide timely and quality assistance for operational and product development and consulting on Plan Sponsor Services functional disciplines utilizing Aetna policy guidelines and in accordance with key performance measures and first claim/first call resolution to ensure accuracy and customer satisfaction.

Position Summary/Mission

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 & Physical Requirements
  • 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 Desired

Demonstrated leadership and problem-solving abilities

Education and Certification Requirements

College degree or equivalent work experience

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


EEO Statement:
Aetna is an Equal Opportunity, Affirmative Action Employer

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