Representative I Benefits Testing
Posted on: 25 Feb 2021
Scottsdale, AZ
Job Description
Job Description
We are looking for passionate, driven people who want to join a high energy and growing team that will make a difference in our customers lives and who is willing to work on the Client Implementations and Process Improvements.
This is a Representative I position within the Essential Health plan testing department. This individual will support Testing and work with our internal customers along with other job duties as required. This Representative I will need to identify the best approaches and strategies for ensuring the accuracy of Benefit and clinical Testing across multiple lines of business.
This Representative I will work as team Member for Benefit and Clinical Testing team, which will include running queries, Claims and analyzing testing defects either within the TCoE department or with our Internal Customers and will need to successfully engage internal business partners and leaders as needed; to resolve issues, drive results and meet project target dates as required by management.
This individual will work with Client Benefits, Account Management and Implementation management along with senior leadership to improve the overall Quality of the Client Implementation experience.
Required Qualifications
Demonstrate ability to analyze data, verify accuracy and determine conclusions
Ability to run the EzTest Tool and analyze the data spreadsheets
Working knowledge of Microsoft Office applications including Word, Excel, Power Point and Access.
Experience with Visio, Project also a plus.
Preferred Qualifications
1 year experience in Healthcare or a PBM desired.
Education
Bachelors degree required; equivalent work experience may substitute.
Business Overview
At CVS Health, 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 strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. 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.
Aetna
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.
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IndustryInsurance
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No. of Employees47,950
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Website
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Jobs Posted12677
