Provider Data Services ConsultantPrimary Location: Wichita, Kansas
Additional Locations: KS-Wichita Apply
Provides support for provider data transactions associated with projects, expansions, and new product implementations. Resolves high volume/high impact systemic problems through proactive and reactive mechanisms (e.g. automation, route audit programs, data reporting, root cause analysis).
Maintains the Provider Data (demographic and contractual) for all network providers. Ensures all provider information is accurately recorded and maintained to provide for proper reimbursement and member access (i.e., directory listings). Develops and maintains standards for database integrity, corrective actions, database alignment, and manages communication processes with other departments regarding database improvements. Identifies, researches and conducts root cause analysis.Background Experience: 1-2 years of experience and knowledge of Provider Data Services systems and other end user applications.
Bachelor's degree or equivalent and 1+ years of relevant experience preferred. Required Skills: General Business - Maximizing Work Practices Functional Skills: Administration / Operation - Data Entry Technology Experience: Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft Word, Desktop Tool - TE Microsoft Excel, Operating System - Windows 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.
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