Job Description
Provides consultation on the design, testing and enhancement of information product including technical assistance and product development support to external and internal customers.Researches, manipulates and prepares complex data to document program activities and reports on its results.Provides oversight to data quality and provides feedback to various areas in order to improve service delivery and enhancement to design efforts.Develops a consultative relationship with internal/external customers. May lead or act as a business technical expert with the planning, development and validation of master or detail test plans and strategies.Performs ongoing research, and support tasks for existing systems.Leads or acts as a business technical expert in the design of new applications or enhancements including integration of solutions.Provides Leadership/Coaching/Mentoring; may be a mentor to others.Directs the implementation of program specific information through education, technology, organizational methods and procedures.Influences enhancements to business processes and system infrastructure to improve data quality availability and access.Manages customer contact and participates in internal and external health industry development efforts (e.g., performance measurements).Analyzes complex data for trends, highlights in-depth interpretations and provides in-depth root cause analysis.Consults with client on a regular basis to ensure progress is in line with customer's expectations and to obtain additional information as needed.Translates complex data into constructive data and information and makes recommendations.Defines, identifies, develops and implements information products to support strategic business and operational planning.Illustrates complex information in a clear concise manner.Develops and conducts presentations and consultations to existing and prospective customers and internal business areas. Provides workgroup support on projects.Educates customer on the value, use and interpretation of information product.Influences changes/enhancements to business processes, policies, and system infrastructure to improve information quality, availability and access.Evaluates available software and data to deliver better business solutions.
Required Qualifications
Excellent verbal and written communication skills.Extensive experience with databases as well interpretation and manipulation of related data.Healthcare background. 3-5 years of data interpretation and analysis experience.Bachelor's degree, technical certification or equivalent work experience.Aetna Application - QNXTClaims experience a plus
Preferred Qualifications
Please review required qualifications above
Education
Bachelor's degree or equivalent experience
Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
Hartford, CT
Aetna Inc. operates as a health care benefits company in the United States. It operates through three segments: Health Care, Group Insurance, and Large Case Pensions. The Health Care segment offers medical, pharmacy benefit management service, dental, behavioral health, and vision plans on an insured and employer-funded basis. It also provides point-of-service, preferred provider organization, health maintenance organization, and indemnity benefit plans, as well as health savings accounts and consumer-directed health plans.
In addition, this segment offers Medicare and Medicaid products and services, as well as other medical products, such as medical management and data analytics services, medical stop loss insurance, workers’ compensation administrative services, and products that provide access to its provider networks in select geographies. The Group Insurance segment offers life insurance products, including group term life insurance, voluntary spouse and dependent term life insurance, group universal life insurance, and accidental death and dismemberment insurance; disability insurance products; and long-term care insurance products, which provide the benefits to cover the cost of care in private home settings, adult day care, assisted living, or nursing facilities.
The Large Case Pensions segment manages various retirement products comprising pension and annuity products primarily for tax-qualified pension plans. The company provides its products and services to employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, governmental units, government-sponsored plans, labor groups, and expatriates. Aetna Inc. was founded in 1853 and is based in Hartford, Connecticut. As of November 28, 2018, Aetna Inc. operates as a subsidiary of CVS Pharmacy, Inc.