Aetna Health

  • Fresno, CA, United States

Finding the cure for the common health care system

Aetna is about more than just doing a job. This is our opportunity to re-shape health care 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 and our customers. We are inspired to make a difference, and we are committed to integrity and excellence. Together we’ll empower people to live healthier lives. 

Aetna is an equal opportunity and affirmative action employer- People of Color, Women, Veterans, and Individuals with Disabilities.

Aetna Health Walnut Creek, CA, USA
Dec 04, 2018
Intern
Req ID: 52177BR Start Date: May 20th, 2019 What it isAetna s internship experience is known as the Summer Associate Program and is a nationally recognized experience. It is a great way to gain confidence, sharpen your skills, and make a valuable impact on our company s mission to make a difference in people s lives. Our program has been recognized for 3 consecutive years as a result of VAULT s Top Internship Survey. Our Summer Associates gain valuable work experience and participate in: · A cross-functional project that provides solutions to real business issues at Aetna · Community service initiatives · A guided mentoring program · Networking events · Discussions with senior leaders And our Summer Associates have an increased likelihood to receive an offer for a future role with Aetna. The Actuarial Summer Associate Program serves as the pipeline for our Actuarial Leadership Development Program a full-time, six-year rotational program. What are the goals The program doesn t just help you develop actuarial skills; it accelerates your development. You ll get well-rounded experience and exposure to life as an actuary at one of the nation s leading healthcare companies while honing your leadership skills. What you will do Our positions will immerse you in a key business area with real work experience on essential projects. There will be networking opportunities within and outside of the actuarial field as well as career development in everything from technical skills to public speaking. The location of each position will vary, so relocation for the summer may be required. If you relocate for the summer, summer housing coordination and a stipend will be provided to those that qualify. What you need· Ability to pass actuarial exams (preferable) · Strong analytical and critical thinking skills · Effective communications skills · To demonstrate leadership and initiative You are eligible if you · Are currently pursuing a Bachelor's degree (Actuarial Science, Mathematics, Risk Management, or related degree is preferred) · Have a 3.0+ major GPA (preferred) · Have an anticipated graduation date between December 2019 - June 2021· Have a willingness to relocate (if applicable) · Have an interest in a full-time position within the ALDP upon graduation What we do 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. Please note this position is not eligible for benefits. Job Function: Special Situations Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.       James
Aetna Health Fresno, CA, USA
Dec 04, 2018
Full time
Req ID: 53329BR POSITION SUMMARY Achieve superior claim and member service performance through an integrated process of operational, quality, medical cost, and resource management meeting and/or exceeding member, plan sponsor, and provider expectations. Reviews and adjudicates routine claims in accordance with claim processing guidelines. Fundamental Components: Analyzes and approves routine claims that cannot be auto adjudicated. (*) Applies medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and applies all cost containment measures to assist in the claim adjudication process. (*) Coordinates responses for routine phone inquiries and written correspondence related to claim processing issues. Routes and triages complex claims to Senior Claim Benefits Specialist. (*) Proofs claim or referral submission to determine, review, or apply appropriate guidelines, coding, member identification processes, provider selection processes, claim coding, including procedure, diagnosis and pre-coding requirements. (*) May facilitate training when considered topic subject matter expert. (*) In accordance with prescribed operational guidelines, manages claims on desk, route/queues, and ECHS within specified turn-around-time parameters (Electronic Correspondence Handling System-system used to process correspondence that is scanned in the system by a vendor). (*) Utilizes all applicable system functions available ensuring accurate and timely claim processing service (i.e., utilizes Claim Check, reasonable and customary data, and other post-containment tools). (*) BACKGROUND/EXPERIENCE desired: Experience in a production environment. Claim processing experience. Ability to maintain accuracy and production standards. Analytical skills. Technical skills. Oral and written communication skills. Understanding of medical terminology. Attention to detail and accuracy. EDUCATION The highest level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience. 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. Benefit eligibility may vary by position. Click here to review the benefits associated with this position. Aetna takes our candidates'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. Job Function: Claim Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.       James
Aetna Health Santa Ana, CA, USA
Dec 04, 2018
Full time
Req ID: 55889BR POSITION SUMMARY This role supports the Southern California Medicare sales leader and team by participating in sales strategy, marketing and broker compliance oversight and event coordination. The role is critical to the team's success. Ability to interact with sales professionals internally and externally is needed. FUNDAMENTAL COMPONENTS: Join a dynamic sales team who is a leader in the Medicare industry nationwide. As a Sales Support Specialist you will support the Medicare Sales Leader and team in Southern California. Office is based in Santa Ana. Must be proficient in word, excel and power point and have the ability to conduct basic admin support functions and interact effectively with the team and Management at all levels. Excellent communication skills verbal and written are required. Experience working in a Medicare sales environment is a plus. Life and Health Insurance license preferred yet not required. Previous administrative roles will be key to your success. Strong attention to detail is required to facilitate compliance oversight and marketing material reviews. BACKGROUND/EXPERIENCE desired: Must be satisfied with working in an administrative role in a fast based office setting. Strong office skills in word, excel and power point. Enjoy working in a sales environment a plus. Quick learner EDUCATION The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience. LICENSES AND CERTIFICATIONS Information Technology/Microsoft Office-Access Database Level 2 is desired Information Technology/ is desired FUNCTIONAL EXPERIENCES Functional - Marketing/Sales support/4-6 Years Functional - Sales & Service/Strategy development/1-3 Years Functional Experience/Functional Focus/1-3 Years TECHNOLOGY EXPERIENCES Technical - Desktop Tools/Microsoft PowerPoint/1-3 Years/End User Technical - Desktop Tools/Microsoft Word/1-3 Years/End User Technical - Database/Microsoft Access/4-6 Years/End User REQUIRED SKILLS General Business/Communicating for Impact/ADVANCED General Business/Turning Data into Information/ADVANCED DESIRED SKILLS Service/Improving constituent-focused Processes/ADVANCED Sales/Knowing Markets/ADVANCED ADDITIONAL JOB INFORMATION Join a Medicare leader in the industry. 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 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. Benefit eligibility may vary by position. Click here to review the benefits associated with this position. Aetna takes our candidates' 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. Job Function: Sales and Service Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.         James
Aetna Health San Diego, CA, USA
Dec 04, 2018
Full time
Req ID: 55443BR POSITION SUMMARY Providing customer service to Medicaid members, reviewing benefits, plan updates, and answering member question. Fundamental Components: Answering incoming calls from members which questions concerning their healthcare coverage, insurance benefits, assigned provider. Office administration duties as assigned including mailroom, return mail, web portal updates, and follow up calls with member cases. BACKGROUND/EXPERIENCE desired: Experience in a production environment. Customer Service experiences in a transaction based environment such as a call center or retail location preferred, demonstrating ability to be empathetic and compassionate. EDUCATION The highest level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience. FUNCTIONAL EXPERIENCES Functional - Customer Service/Customer Service - Member Services - HMO products/1-3 Years TECHNOLOGY EXPERIENCES Technical - Operating Systems/Windows/1-3 Years/End User DESIRED SKILLS Service/Handling Service Challenges/ADVANCED Service/Working Across Boundaries/ADVANCED Service/Creating a Differentiated Service Experience/ADVANCED 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. Benefit eligibility may vary by position. Click here to review the benefits associated with this position. Aetna takes our candidates'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. Job Function: Customer Service Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.         James
Aetna Health San Diego, CA, USA
Dec 04, 2018
Full time
Req ID: 55744BR POSITION SUMMARY Provide a wide variety of administrative support for Chief Medical Officer & VP of Medical Management. Composes routine correspondence, compiles data for routine reports, time management, coordinates meeting agendas, assists in developing presentation materials, file maintenance. Fundamental Components: Provides a wide variety of administrative support Produces a variety of correspondence, compiles data for routine reports, time management, coordinates meeting agendas, takes minutes and assists in developing presentation materials using the appropriate software, file maintenance. Collects, compiles, and analyzes data and prepares various management reports. May participate in or lead special projects. Manager delegate access and involvement in various in various HR activities including; job posting, recruiting, interview process, new hire onboarding, office setup, organization hierarchy, time and attendance, etc. Coordinates travel arrangements and expense report submission. Screens telephone calls, answers routine questions and furnishes information Opens, sorts, distributes, scans, organizes, prioritizes and responds to mail Coordinates calendars; scheduling meetings, room reservations, hospitality arrangements Operates and maintains various office equipment Orders and maintains office supplies Organizes and maintains files of supervisor(s) correspondence, records etc. following up on pending matters Produces a variety of correspondence, reports, and presentations using the appropriate software BACKGROUND/EXPERIENCE desired: 2-3 years experience as an administrative assistant. Ability to work independently in a fast-paced environment; excellent organizational and communication skills to manage multiple tasks and matters. Strong calendar/time management and follow-up skills; strong problem-solving skills. Exercise confidentiality in all situations. College degree a plus EDUCATION The highest level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience. FUNCTIONAL EXPERIENCES Functional - Administration / Operations//1-3 Years Functional - Administration / Operations/Document production & distribution/1-3 Years Functional - Administration / Operations/FE Correspondence / Reports/1-3 Years Functional - Administration / Operations/File Maintenance/1-3 Years TECHNOLOGY EXPERIENCES Technical - Desktop Tools/Microsoft Outlook/1-3 Years/Power User Technical - Desktop Tools/Microsoft PowerPoint/1-3 Years/Power User Technical - Desktop Tools/TE Microsoft Excel/1-3 Years/Power User Technical - Desktop Tools/Microsoft SharePoint/1-3 Years/End User REQUIRED SKILLS General Business/Applying Reasoned Judgment/FOUNDATION General Business/Communicating for Impact/ADVANCED Service/Demonstrating Service Discipline/FOUNDATION DESIRED SKILLS General Business/Maximizing Work Practices/ADVANCED General Business/Turning Data into Information/FOUNDATION Service/Creating a Differentiated Service Experience/ADVANCED Telework Specifications: Position #6085 ADDITIONAL JOB INFORMATION Join an exciting new and growing health plan that supports our most vulnerable populations. Be part of a team that makes a difference every day in the lives of the members we serve and in supporting each other in the work! 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. Benefit eligibility may vary by position. Click here to review the benefits associated with this position. Aetna takes our candidates'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. Job Function: Office Support Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.         James
$15.00 - $30.00 hourly
Aetna Health Fresno, CA, United States
Jan 13, 2018
Full time
Our mission to hire veterans "At Aetna, we appreciate the commitments made by the men and women who serve our country through military service. We will never forget the sacrifices our veterans, active troops and military families have made to protect our freedom. Aetna is committed to building a healthier world with the help of nearly 50,000 employees, including military professionals with diverse backgrounds and experience." Finding the cure for the common health care system Aetna is about more than just doing a job. This is our opportunity to  re-shape health care  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 and our customers. We are  inspired  to make a difference, and we are committed to  integrity  and  excellence . Together we’ll empower people to live healthier lives.  Aetna is an equal opportunity and affirmative action employer- People of Color, Women, Veterans, and Individuals with Disabilities. Actuarial Actuarial Actuaries are our financial architects. They protect the company's financial integrity and long-term success. They balance reserve and risk management practices, product designs and pricing. Actuaries are responsible for anticipating and recognizing matters that could affect financial integrity. We count on them to provide sound, unbiased reports. Actuarial opportunities Opportunities include, but are not limited to: • Actuary I • Actuary II • Actuarial Analyst • Actuarial Consultant • Actuarial Technician • Actuarial Manager • Senior Actuarial Consultant • Actuarial Team Lead What's required Strong analytical, critical thinking and communication skills Demonstrated leadership and initiative Credentialed and non-credentialed positions are available. See job descriptions for more specific requirements. Interested in learning more about the people who work in this area at Aetna? Read an actuarial employee's profile Search our job listings or submit your resume Behavioral Health Behavioral Health Do you want to make a lasting impact on others? Are you looking for a job with dependable hours? Do you want to soar as a professional? Aetna may be the right place for you. At Aetna, we appreciate the difference that behavioral health professionals make in the lives and well-being of our members. We promote career development by offering continuing education, licensure reimbursement and additional certifications. Behavioral Health opportunities Disease Management Care Manager Concurrent Review Care Manager Precertification Case Manager Outpatient Case Manager Intensive outpatient Case Manager Care Planner - Non-licensed Care Associate - Non-licensed Learn more about our behavioral health careers See job openings for behavioral health roles at  Aetna Claims and Customer Service Claims and Customer Service Our customer service and claim areas are the important first line of contact with customers. They work with members, doctors and employer groups (companies) to help them better understand our products and services. They process claims timely and accurately. They provide a human connection when it is needed most. Our customer service team consists of talented, dedicated people with the skills to make a difference in the lives of our customers. The setting is fast paced, and customer satisfaction is a top priority. People who thrive in our organization can handle multiple tasks while maintaining a positive and professional attitude. Our work environment is engaging and diverse. Employees are encouraged to satisfy professional ambitions, take pride in their contributions and share in our success. Claims and Customer Service opportunities Customer Service Representatives Claim Benefits Specialists Service Consultants Supervisors/Team Leaders What's required Customer Service Call center or telephone customer service experience (most positions) Strong communication and problem-solving skills Computer knowledge and experience A two-year college degree is preferred, but not required, depending on experience. Claims Problem-solving skills and the ability to work in a production environment (most positions) Computer knowledge and experience A two-year college degree is preferred, but not required, depending on experience. Interested in learning more about the people who work in this area at Aetna? Read a claims and customer service employee's profile Search our job listings or submit your resume Data Science We are building leading-edge analytics, data and technology platforms to reimagine health care. Positions within our Data Science organization are designed to accelerate your career development and build the skills that will lead you to success. Every day at Aetna, we’re working to improve health care quality, lower costs and connect people to the health information they need. Our Data Science team is focused on delivering strategically meaningful products to our customers by building analytically based solutions that integrate a range of datasets within a cutting-edge environment.  Data Science is composed of two major organizations that contribute to goal of reimagining health care: Data Engineering accelerates the data-to-action process through the latest data and technology capabilities. This group delivers insights for business to take needed actions. We are fundamentally changing the way Aetna does business, one line of code at a time. Analytics & Behavior Change focuses on deep analytics, modeling, machine learning and reporting. We help Aetna manage costs, improve quality, understand its products and create new opportunities.  The variety and complexity of problems we are solving will provide substantial opportunity for personal and professional growth. Locations may include but are not limited to: Hartford, CT Wellesley, MA New York City Preferred qualifications Bachelor’s, Masters or PhD, focused in Computer Science, Business Analytics or similar Willingness to relocate  Effective written and verbal communication Strong analytical and problem-resolution skills Demonstrated technical skills (vary by position) Demonstrated commitment to integrity, the Aetna code of conduct and respect for diversity Interested in applying? Recruitment for Data Science positions occurs throughout the year. See all of our open positions Finance Finance  The Finance Department works with business units and corporate groups to help Aetna meet its financial responsibilities. These include: Supporting sustained profitable growth Managing costs Forecasting accuracy and capital management Maintaining a strong financial control environment Finance opportunities As an employee in the finance area, you would be part of a diverse and knowledgeable team. Finance opportunities include, but are not limited to:  Business Operations Finance Controllers Tax Treasury Internal Audit Planning, Performance & Risk Management Corporate Development Investment Management Actuarial & Medical Economics Achieving Business Excellence Procurement What’s required You'll find a variety of opportunities, each with specific qualifications. In general, the department looks for: A Bachelor’s degree in finance, accounting, economics, math or other related field A GPA of 3.0 or above Strong problem-solving skills Strong communication and interpersonal skills The ability to work both independently and in a team environment Computer skills, especially proficiency with Microsoft Office products Search our job listings or submit your resume Global Opportunities Global Opportunities  Aetna International provides tools, programs and services designed to give our members access to the highest quality health care, anywhere in the world. We offer flexible plans for expatriates and global employers. Aetna International is one of the industry's largest U.S.-based international benefits providers. We serve more than 400,000 members worldwide. They live or travel in more than 100 countries. Aetna International offers products and programs for a variety of organizations throughout the United States, Europe, Asia, the Middle East and Africa. What's required For specific requirements, please review individual job listings. Search our job listings or submit your resume Health Informatics Health Informatics We look at our experiences with health outcomes and health care costs to find ways to improve our business, help our customers and help our members. The health informatics team supports business questions and decisions in many fields, including: Population health management Health and economic outcomes Quality of care Program and product design Provider network design Health Informatics opportunities Informatics Analyst Sr./Lead Informatics Analyst Sr. Informatics Consultant Informatics Manager Sr. Informatics Manager Informatics Head What's required Health informatics positions require advanced technical, analytic and consultative skills. Some positions require specific software skills, such as SAS, SQL, Access, and Excel. Applicants should have an understanding of: Epidemiology Health care benefits Health care financing Health care delivery Health data information systems For more specific requirements, please review individual job listings. Search our job listings or submit your resume Human Resources Human Resources Our Human Resources team recruits, supports, develops, trains and motivates our workforce. We seek to build and maintain a high-performing, inclusive work environment. Our team has earned industry and media recognition for our efforts. Responsibilities include: Delivering payroll services, benefits and wellness programs Providing consultation in change management, talent recruiting, organization design, and performance Promoting and enforcing compliance with relevant laws, regulations, requirements and policies Human Resource opportunities Payroll Employee Relations Executive Staffing Organizational Development Benefits Compensation Employee Fitness and Wellness Human Resources Business Partner Talent Acquisition Human Resources Compliance What's required For specific requirements, please review individual job listings. Search our job listings or submit your resume Information Technology Information Technology  We aim to provide the products, information and services that help lead healthier lives. To succeed, we need people who can take advantage of technology to set us apart from our competitors. Aetna Information Services' (AIS) helps us grow profitably and become the industry leader through technology. We work with our constituents to improve process and performance using a superior delivery capability and robust enterprise architecture. There are many opportunities at Aetna to explore. Information Technology opportunities: Application Development Programmer Application Architect Database Analyst/Programmer Project Management Quality Assurance Analyst Systems Engineer/Designer What's required Creativity, innovation Results-driven thinking Critical thinking skills Collaboration Expertise in any of the following:        - Software Development Lifecycle (SDLC)        - Application Development and Design        - Enterprise Architecture        - Java, J2EE, .NET, Mainframe technologies        - Infrastructure and networking solutions        - Database administration/analysis        - Project management        - Delivery management We offer a variety of opportunities. Each has specific requirements. Please read the job listings that you are interested in to find out what is required. Interested in learning more about the people who work in this area at Aetna? Read an information technology employee's profile Search our job listings or submit your resume Marketing Marketing Marketing professionals reach out to our many audiences: members, plan sponsors, doctors, employees and the media. Our writers and graphic designers inform, persuade and motivate with their art. Marketing professionals work with both print and electronic materials. We strive for cost effective, high-quality communications that improve health literacy. Our materials aim to: Improve the awareness and understanding of what we do Create a positive image for our company and products Increase customer retention and sales Opportunities in Marketing Advertising Design Marketing Communications Internal/External Communications Community Relations What's required Skills in: Microsoft Office Oral communication Preparing and giving presentations Writing Editing Proofreading For specific requirements, please review individual job listings. Search our job listings or submit your resume Nursing Nursing You can do it all at Aetna: Redefine healthcare, help others, grow your career. Think Aetna – Expand your clinical knowledge while partnering with providers to help our members live healthier lives. Watch the following videos to learn more about the work Aetna nurses do and the differences they make in our community: Aetna Nurses making a difference If you’re looking for a career with flexibility and an opportunity to excel as a professional, you’ve found the right place. We appreciate the differences that nurses can make in people’s lives. We promote career development through continuing education, licensure reimbursement, case management certification and more. Let us invest in you through training and professional development unique to the Aetna Way. Learn more about the Aetna Way Nursing opportunities: Utilization Nurse Consultant - RN Health Coach Consultant - RN Appeals Nurse Consultant - RN Quality Management Nurse Consultant-RN Case Manager--RN Nurse Educator--RN Utilization Management  Nurse Associate—LPN/LVN Health Coach Associate–LPN/LVN Appeals Nurse Associate-LPN/LVN Quality Management Nurse Associate-LPN/LVN Read more about our nursing careers See job openings for nurses at Aetna Pharmacy Mail-Order Delivery Pharmacy Mail-Order Delivery  Delivering prescriptions to our members' front doors is just one of the ways we make life easier for them. Pharmacy mail-order delivery is a convenient, cost-saving 24/7 service. It helps people get the medicines they need, when they need them. We process, fill and dispense prescriptions, using professional expertise and guidance. We also keep delivery systems and processes running smoothly. Pharmacy opportunities Pharmacists Pharmacy Operations Pharmacy Administration Pharmacy Maintenance & System Administration Pharmacy Operations Management Read more about our pharmacy careers See job openings for pharmacists at Aetna Sales & Distribution Management Sales & Distribution Management Sales and Distribution Management professionals help us build business in a number of specialized market areas. Their goal is to meet customer needs, while helping people make better decisions about their health and health care spending. Sales opportunities vary from individual contributor roles, such as Sales Support, Account Management and Account Executive, to Management-level positions. You may find these various job functions within the areas outlined below. Sales and Service Sales Support Distribution Channel Management Account Service Consumer Markets Sales and Service Middle Markets Sales and Service Specialty Products Sales and Service National Accounts Sales and Service Group Insurance Sales and Service What’s required Ability to manage Aetna’s sales, service and retention efforts to achieve disciplined and profitable growth Experience in developing and maintaining strong business relationships (including relationships with agents, brokers, benefits consultants, etc.) Ability to execute seamless product administration and service delivery See job descriptions for more specific requirements. Interested in learning more about the people who work in this area at Aetna? Read a sales & distribution management employee's profile Search our job listings or submit your resume Underwriting Jason Cameron Team C Team Charlie
$15.00 - $20.00 hourly
Aetna Health Sacramento, CA, United States
Jan 13, 2018
Full time
Our mission to hire veterans "At Aetna, we appreciate the commitments made by the men and women who serve our country through military service. We will never forget the sacrifices our veterans, active troops and military families have made to protect our freedom. Aetna is committed to building a healthier world with the help of nearly 50,000 employees, including military professionals with diverse backgrounds and experience." Finding the cure for the common health care system Aetna is about more than just doing a job. This is our opportunity to  re-shape health care  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 and our customers. We are  inspired  to make a difference, and we are committed to  integrity  and  excellence . Together we’ll empower people to live healthier lives.  Aetna is an equal opportunity and affirmative action employer- People of Color, Women, Veterans, and Individuals with Disabilities. Actuarial Actuarial Actuaries are our financial architects. They protect the company's financial integrity and long-term success. They balance reserve and risk management practices, product designs and pricing. Actuaries are responsible for anticipating and recognizing matters that could affect financial integrity. We count on them to provide sound, unbiased reports. Actuarial opportunities Opportunities include, but are not limited to: • Actuary I • Actuary II • Actuarial Analyst • Actuarial Consultant • Actuarial Technician • Actuarial Manager • Senior Actuarial Consultant • Actuarial Team Lead What's required Strong analytical, critical thinking and communication skills Demonstrated leadership and initiative Credentialed and non-credentialed positions are available. See job descriptions for more specific requirements. Interested in learning more about the people who work in this area at Aetna? Read an actuarial employee's profile Search our job listings or submit your resume Behavioral Health Behavioral Health Do you want to make a lasting impact on others? Are you looking for a job with dependable hours? Do you want to soar as a professional? Aetna may be the right place for you. At Aetna, we appreciate the difference that behavioral health professionals make in the lives and well-being of our members. We promote career development by offering continuing education, licensure reimbursement and additional certifications. Behavioral Health opportunities Disease Management Care Manager Concurrent Review Care Manager Precertification Case Manager Outpatient Case Manager Intensive outpatient Case Manager Care Planner - Non-licensed Care Associate - Non-licensed Learn more about our behavioral health careers See job openings for behavioral health roles at  Aetna Claims and Customer Service Claims and Customer Service Our customer service and claim areas are the important first line of contact with customers. They work with members, doctors and employer groups (companies) to help them better understand our products and services. They process claims timely and accurately. They provide a human connection when it is needed most. Our customer service team consists of talented, dedicated people with the skills to make a difference in the lives of our customers. The setting is fast paced, and customer satisfaction is a top priority. People who thrive in our organization can handle multiple tasks while maintaining a positive and professional attitude. Our work environment is engaging and diverse. Employees are encouraged to satisfy professional ambitions, take pride in their contributions and share in our success. Claims and Customer Service opportunities Customer Service Representatives Claim Benefits Specialists Service Consultants Supervisors/Team Leaders What's required Customer Service Call center or telephone customer service experience (most positions) Strong communication and problem-solving skills Computer knowledge and experience A two-year college degree is preferred, but not required, depending on experience. Claims Problem-solving skills and the ability to work in a production environment (most positions) Computer knowledge and experience A two-year college degree is preferred, but not required, depending on experience. Interested in learning more about the people who work in this area at Aetna? Read a claims and customer service employee's profile Search our job listings or submit your resume Data Science We are building leading-edge analytics, data and technology platforms to reimagine health care. Positions within our Data Science organization are designed to accelerate your career development and build the skills that will lead you to success. Every day at Aetna, we’re working to improve health care quality, lower costs and connect people to the health information they need. Our Data Science team is focused on delivering strategically meaningful products to our customers by building analytically based solutions that integrate a range of datasets within a cutting-edge environment.  Data Science is composed of two major organizations that contribute to goal of reimagining health care: Data Engineering accelerates the data-to-action process through the latest data and technology capabilities. This group delivers insights for business to take needed actions. We are fundamentally changing the way Aetna does business, one line of code at a time. Analytics & Behavior Change focuses on deep analytics, modeling, machine learning and reporting. We help Aetna manage costs, improve quality, understand its products and create new opportunities.  The variety and complexity of problems we are solving will provide substantial opportunity for personal and professional growth. Locations may include but are not limited to: Hartford, CT Wellesley, MA New York City Preferred qualifications Bachelor’s, Masters or PhD, focused in Computer Science, Business Analytics or similar Willingness to relocate  Effective written and verbal communication Strong analytical and problem-resolution skills Demonstrated technical skills (vary by position) Demonstrated commitment to integrity, the Aetna code of conduct and respect for diversity Interested in applying? Recruitment for Data Science positions occurs throughout the year. See all of our open positions Finance Finance  The Finance Department works with business units and corporate groups to help Aetna meet its financial responsibilities. These include: Supporting sustained profitable growth Managing costs Forecasting accuracy and capital management Maintaining a strong financial control environment Finance opportunities As an employee in the finance area, you would be part of a diverse and knowledgeable team. Finance opportunities include, but are not limited to:  Business Operations Finance Controllers Tax Treasury Internal Audit Planning, Performance & Risk Management Corporate Development Investment Management Actuarial & Medical Economics Achieving Business Excellence Procurement What’s required You'll find a variety of opportunities, each with specific qualifications. In general, the department looks for: A Bachelor’s degree in finance, accounting, economics, math or other related field A GPA of 3.0 or above Strong problem-solving skills Strong communication and interpersonal skills The ability to work both independently and in a team environment Computer skills, especially proficiency with Microsoft Office products Search our job listings or submit your resume Global Opportunities Global Opportunities  Aetna International provides tools, programs and services designed to give our members access to the highest quality health care, anywhere in the world. We offer flexible plans for expatriates and global employers. Aetna International is one of the industry's largest U.S.-based international benefits providers. We serve more than 400,000 members worldwide. They live or travel in more than 100 countries. Aetna International offers products and programs for a variety of organizations throughout the United States, Europe, Asia, the Middle East and Africa. What's required For specific requirements, please review individual job listings. Search our job listings or submit your resume Health Informatics Health Informatics We look at our experiences with health outcomes and health care costs to find ways to improve our business, help our customers and help our members. The health informatics team supports business questions and decisions in many fields, including: Population health management Health and economic outcomes Quality of care Program and product design Provider network design Health Informatics opportunities Informatics Analyst Sr./Lead Informatics Analyst Sr. Informatics Consultant Informatics Manager Sr. Informatics Manager Informatics Head What's required Health informatics positions require advanced technical, analytic and consultative skills. Some positions require specific software skills, such as SAS, SQL, Access, and Excel. Applicants should have an understanding of: Epidemiology Health care benefits Health care financing Health care delivery Health data information systems For more specific requirements, please review individual job listings. Search our job listings or submit your resume Human Resources Human Resources Our Human Resources team recruits, supports, develops, trains and motivates our workforce. We seek to build and maintain a high-performing, inclusive work environment. Our team has earned industry and media recognition for our efforts. Responsibilities include: Delivering payroll services, benefits and wellness programs Providing consultation in change management, talent recruiting, organization design, and performance Promoting and enforcing compliance with relevant laws, regulations, requirements and policies Human Resource opportunities Payroll Employee Relations Executive Staffing Organizational Development Benefits Compensation Employee Fitness and Wellness Human Resources Business Partner Talent Acquisition Human Resources Compliance What's required For specific requirements, please review individual job listings. Search our job listings or submit your resume Information Technology Information Technology  We aim to provide the products, information and services that help lead healthier lives. To succeed, we need people who can take advantage of technology to set us apart from our competitors. Aetna Information Services' (AIS) helps us grow profitably and become the industry leader through technology. We work with our constituents to improve process and performance using a superior delivery capability and robust enterprise architecture. There are many opportunities at Aetna to explore. Information Technology opportunities: Application Development Programmer Application Architect Database Analyst/Programmer Project Management Quality Assurance Analyst Systems Engineer/Designer What's required Creativity, innovation Results-driven thinking Critical thinking skills Collaboration Expertise in any of the following:        - Software Development Lifecycle (SDLC)        - Application Development and Design        - Enterprise Architecture        - Java, J2EE, .NET, Mainframe technologies        - Infrastructure and networking solutions        - Database administration/analysis        - Project management        - Delivery management We offer a variety of opportunities. Each has specific requirements. Please read the job listings that you are interested in to find out what is required. Interested in learning more about the people who work in this area at Aetna? Read an information technology employee's profile Search our job listings or submit your resume Marketing Marketing Marketing professionals reach out to our many audiences: members, plan sponsors, doctors, employees and the media. Our writers and graphic designers inform, persuade and motivate with their art. Marketing professionals work with both print and electronic materials. We strive for cost effective, high-quality communications that improve health literacy. Our materials aim to: Improve the awareness and understanding of what we do Create a positive image for our company and products Increase customer retention and sales Opportunities in Marketing Advertising Design Marketing Communications Internal/External Communications Community Relations What's required Skills in: Microsoft Office Oral communication Preparing and giving presentations Writing Editing Proofreading For specific requirements, please review individual job listings. Search our job listings or submit your resume Nursing Nursing You can do it all at Aetna: Redefine healthcare, help others, grow your career. Think Aetna – Expand your clinical knowledge while partnering with providers to help our members live healthier lives. Watch the following videos to learn more about the work Aetna nurses do and the differences they make in our community: Aetna Nurses making a difference If you’re looking for a career with flexibility and an opportunity to excel as a professional, you’ve found the right place. We appreciate the differences that nurses can make in people’s lives. We promote career development through continuing education, licensure reimbursement, case management certification and more. Let us invest in you through training and professional development unique to the Aetna Way. Learn more about the Aetna Way Nursing opportunities: Utilization Nurse Consultant - RN Health Coach Consultant - RN Appeals Nurse Consultant - RN Quality Management Nurse Consultant-RN Case Manager--RN Nurse Educator--RN Utilization Management  Nurse Associate—LPN/LVN Health Coach Associate–LPN/LVN Appeals Nurse Associate-LPN/LVN Quality Management Nurse Associate-LPN/LVN Read more about our nursing careers See job openings for nurses at Aetna Pharmacy Mail-Order Delivery Pharmacy Mail-Order Delivery  Delivering prescriptions to our members' front doors is just one of the ways we make life easier for them. Pharmacy mail-order delivery is a convenient, cost-saving 24/7 service. It helps people get the medicines they need, when they need them. We process, fill and dispense prescriptions, using professional expertise and guidance. We also keep delivery systems and processes running smoothly. Pharmacy opportunities Pharmacists Pharmacy Operations Pharmacy Administration Pharmacy Maintenance & System Administration Pharmacy Operations Management Read more about our pharmacy careers See job openings for pharmacists at Aetna Sales & Distribution Management Sales & Distribution Management Sales and Distribution Management professionals help us build business in a number of specialized market areas. Their goal is to meet customer needs, while helping people make better decisions about their health and health care spending. Sales opportunities vary from individual contributor roles, such as Sales Support, Account Management and Account Executive, to Management-level positions. You may find these various job functions within the areas outlined below. Sales and Service Sales Support Distribution Channel Management Account Service Consumer Markets Sales and Service Middle Markets Sales and Service Specialty Products Sales and Service National Accounts Sales and Service Group Insurance Sales and Service What’s required Ability to manage Aetna’s sales, service and retention efforts to achieve disciplined and profitable growth Experience in developing and maintaining strong business relationships (including relationships with agents, brokers, benefits consultants, etc.) Ability to execute seamless product administration and service delivery See job descriptions for more specific requirements. Interested in learning more about the people who work in this area at Aetna? Read a sales & distribution management employee's profile Search our job listings or submit your resume Underwriting Jason Cameron Team C Team Charlie
$15.00 - $50.00 hourly
Aetna Health Thousand Oaks, CA, United States
Jan 13, 2018
Full time
Our mission to hire veterans "At Aetna, we appreciate the commitments made by the men and women who serve our country through military service. We will never forget the sacrifices our veterans, active troops and military families have made to protect our freedom. Aetna is committed to building a healthier world with the help of nearly 50,000 employees, including military professionals with diverse backgrounds and experience." Finding the cure for the common health care system Aetna is about more than just doing a job. This is our opportunity to  re-shape health care  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 and our customers. We are  inspired  to make a difference, and we are committed to  integrity  and  excellence . Together we’ll empower people to live healthier lives.  Aetna is an equal opportunity and affirmative action employer- People of Color, Women, Veterans, and Individuals with Disabilities. Actuarial Actuarial Actuaries are our financial architects. They protect the company's financial integrity and long-term success. They balance reserve and risk management practices, product designs and pricing. Actuaries are responsible for anticipating and recognizing matters that could affect financial integrity. We count on them to provide sound, unbiased reports. Actuarial opportunities Opportunities include, but are not limited to: • Actuary I • Actuary II • Actuarial Analyst • Actuarial Consultant • Actuarial Technician • Actuarial Manager • Senior Actuarial Consultant • Actuarial Team Lead What's required Strong analytical, critical thinking and communication skills Demonstrated leadership and initiative Credentialed and non-credentialed positions are available. See job descriptions for more specific requirements. Interested in learning more about the people who work in this area at Aetna? Read an actuarial employee's profile Search our job listings or submit your resume Behavioral Health Behavioral Health Do you want to make a lasting impact on others? Are you looking for a job with dependable hours? Do you want to soar as a professional? Aetna may be the right place for you. At Aetna, we appreciate the difference that behavioral health professionals make in the lives and well-being of our members. We promote career development by offering continuing education, licensure reimbursement and additional certifications. Behavioral Health opportunities Disease Management Care Manager Concurrent Review Care Manager Precertification Case Manager Outpatient Case Manager Intensive outpatient Case Manager Care Planner - Non-licensed Care Associate - Non-licensed Learn more about our behavioral health careers See job openings for behavioral health roles at  Aetna Claims and Customer Service Claims and Customer Service Our customer service and claim areas are the important first line of contact with customers. They work with members, doctors and employer groups (companies) to help them better understand our products and services. They process claims timely and accurately. They provide a human connection when it is needed most. Our customer service team consists of talented, dedicated people with the skills to make a difference in the lives of our customers. The setting is fast paced, and customer satisfaction is a top priority. People who thrive in our organization can handle multiple tasks while maintaining a positive and professional attitude. Our work environment is engaging and diverse. Employees are encouraged to satisfy professional ambitions, take pride in their contributions and share in our success. Claims and Customer Service opportunities Customer Service Representatives Claim Benefits Specialists Service Consultants Supervisors/Team Leaders What's required Customer Service Call center or telephone customer service experience (most positions) Strong communication and problem-solving skills Computer knowledge and experience A two-year college degree is preferred, but not required, depending on experience. Claims Problem-solving skills and the ability to work in a production environment (most positions) Computer knowledge and experience A two-year college degree is preferred, but not required, depending on experience. Interested in learning more about the people who work in this area at Aetna? Read a claims and customer service employee's profile Search our job listings or submit your resume Data Science We are building leading-edge analytics, data and technology platforms to reimagine health care. Positions within our Data Science organization are designed to accelerate your career development and build the skills that will lead you to success. Every day at Aetna, we’re working to improve health care quality, lower costs and connect people to the health information they need. Our Data Science team is focused on delivering strategically meaningful products to our customers by building analytically based solutions that integrate a range of datasets within a cutting-edge environment.  Data Science is composed of two major organizations that contribute to goal of reimagining health care: Data Engineering accelerates the data-to-action process through the latest data and technology capabilities. This group delivers insights for business to take needed actions. We are fundamentally changing the way Aetna does business, one line of code at a time. Analytics & Behavior Change focuses on deep analytics, modeling, machine learning and reporting. We help Aetna manage costs, improve quality, understand its products and create new opportunities.  The variety and complexity of problems we are solving will provide substantial opportunity for personal and professional growth. Locations may include but are not limited to: Hartford, CT Wellesley, MA New York City Preferred qualifications Bachelor’s, Masters or PhD, focused in Computer Science, Business Analytics or similar Willingness to relocate  Effective written and verbal communication Strong analytical and problem-resolution skills Demonstrated technical skills (vary by position) Demonstrated commitment to integrity, the Aetna code of conduct and respect for diversity Interested in applying? Recruitment for Data Science positions occurs throughout the year. See all of our open positions Finance Finance  The Finance Department works with business units and corporate groups to help Aetna meet its financial responsibilities. These include: Supporting sustained profitable growth Managing costs Forecasting accuracy and capital management Maintaining a strong financial control environment Finance opportunities As an employee in the finance area, you would be part of a diverse and knowledgeable team. Finance opportunities include, but are not limited to:  Business Operations Finance Controllers Tax Treasury Internal Audit Planning, Performance & Risk Management Corporate Development Investment Management Actuarial & Medical Economics Achieving Business Excellence Procurement What’s required You'll find a variety of opportunities, each with specific qualifications. In general, the department looks for: A Bachelor’s degree in finance, accounting, economics, math or other related field A GPA of 3.0 or above Strong problem-solving skills Strong communication and interpersonal skills The ability to work both independently and in a team environment Computer skills, especially proficiency with Microsoft Office products Search our job listings or submit your resume Global Opportunities Global Opportunities  Aetna International provides tools, programs and services designed to give our members access to the highest quality health care, anywhere in the world. We offer flexible plans for expatriates and global employers. Aetna International is one of the industry's largest U.S.-based international benefits providers. We serve more than 400,000 members worldwide. They live or travel in more than 100 countries. Aetna International offers products and programs for a variety of organizations throughout the United States, Europe, Asia, the Middle East and Africa. What's required For specific requirements, please review individual job listings. Search our job listings or submit your resume Health Informatics Health Informatics We look at our experiences with health outcomes and health care costs to find ways to improve our business, help our customers and help our members. The health informatics team supports business questions and decisions in many fields, including: Population health management Health and economic outcomes Quality of care Program and product design Provider network design Health Informatics opportunities Informatics Analyst Sr./Lead Informatics Analyst Sr. Informatics Consultant Informatics Manager Sr. Informatics Manager Informatics Head What's required Health informatics positions require advanced technical, analytic and consultative skills. Some positions require specific software skills, such as SAS, SQL, Access, and Excel. Applicants should have an understanding of: Epidemiology Health care benefits Health care financing Health care delivery Health data information systems For more specific requirements, please review individual job listings. Search our job listings or submit your resume Human Resources Human Resources Our Human Resources team recruits, supports, develops, trains and motivates our workforce. We seek to build and maintain a high-performing, inclusive work environment. Our team has earned industry and media recognition for our efforts. Responsibilities include: Delivering payroll services, benefits and wellness programs Providing consultation in change management, talent recruiting, organization design, and performance Promoting and enforcing compliance with relevant laws, regulations, requirements and policies Human Resource opportunities Payroll Employee Relations Executive Staffing Organizational Development Benefits Compensation Employee Fitness and Wellness Human Resources Business Partner Talent Acquisition Human Resources Compliance What's required For specific requirements, please review individual job listings. Search our job listings or submit your resume Information Technology Information Technology  We aim to provide the products, information and services that help lead healthier lives. To succeed, we need people who can take advantage of technology to set us apart from our competitors. Aetna Information Services' (AIS) helps us grow profitably and become the industry leader through technology. We work with our constituents to improve process and performance using a superior delivery capability and robust enterprise architecture. There are many opportunities at Aetna to explore. Information Technology opportunities: Application Development Programmer Application Architect Database Analyst/Programmer Project Management Quality Assurance Analyst Systems Engineer/Designer What's required Creativity, innovation Results-driven thinking Critical thinking skills Collaboration Expertise in any of the following:        - Software Development Lifecycle (SDLC)        - Application Development and Design        - Enterprise Architecture        - Java, J2EE, .NET, Mainframe technologies        - Infrastructure and networking solutions        - Database administration/analysis        - Project management        - Delivery management We offer a variety of opportunities. Each has specific requirements. Please read the job listings that you are interested in to find out what is required. Interested in learning more about the people who work in this area at Aetna? Read an information technology employee's profile Search our job listings or submit your resume Marketing Marketing Marketing professionals reach out to our many audiences: members, plan sponsors, doctors, employees and the media. Our writers and graphic designers inform, persuade and motivate with their art. Marketing professionals work with both print and electronic materials. We strive for cost effective, high-quality communications that improve health literacy. Our materials aim to: Improve the awareness and understanding of what we do Create a positive image for our company and products Increase customer retention and sales Opportunities in Marketing Advertising Design Marketing Communications Internal/External Communications Community Relations What's required Skills in: Microsoft Office Oral communication Preparing and giving presentations Writing Editing Proofreading For specific requirements, please review individual job listings. Search our job listings or submit your resume Nursing Nursing You can do it all at Aetna: Redefine healthcare, help others, grow your career. Think Aetna – Expand your clinical knowledge while partnering with providers to help our members live healthier lives. Watch the following videos to learn more about the work Aetna nurses do and the differences they make in our community: Aetna Nurses making a difference If you’re looking for a career with flexibility and an opportunity to excel as a professional, you’ve found the right place. We appreciate the differences that nurses can make in people’s lives. We promote career development through continuing education, licensure reimbursement, case management certification and more. Let us invest in you through training and professional development unique to the Aetna Way. Learn more about the Aetna Way Nursing opportunities: Utilization Nurse Consultant - RN Health Coach Consultant - RN Appeals Nurse Consultant - RN Quality Management Nurse Consultant-RN Case Manager--RN Nurse Educator--RN Utilization Management  Nurse Associate—LPN/LVN Health Coach Associate–LPN/LVN Appeals Nurse Associate-LPN/LVN Quality Management Nurse Associate-LPN/LVN Read more about our nursing careers See job openings for nurses at Aetna Pharmacy Mail-Order Delivery Pharmacy Mail-Order Delivery  Delivering prescriptions to our members' front doors is just one of the ways we make life easier for them. Pharmacy mail-order delivery is a convenient, cost-saving 24/7 service. It helps people get the medicines they need, when they need them. We process, fill and dispense prescriptions, using professional expertise and guidance. We also keep delivery systems and processes running smoothly. Pharmacy opportunities Pharmacists Pharmacy Operations Pharmacy Administration Pharmacy Maintenance & System Administration Pharmacy Operations Management Read more about our pharmacy careers See job openings for pharmacists at Aetna Sales & Distribution Management Sales & Distribution Management Sales and Distribution Management professionals help us build business in a number of specialized market areas. Their goal is to meet customer needs, while helping people make better decisions about their health and health care spending. Sales opportunities vary from individual contributor roles, such as Sales Support, Account Management and Account Executive, to Management-level positions. You may find these various job functions within the areas outlined below. Sales and Service Sales Support Distribution Channel Management Account Service Consumer Markets Sales and Service Middle Markets Sales and Service Specialty Products Sales and Service National Accounts Sales and Service Group Insurance Sales and Service What’s required Ability to manage Aetna’s sales, service and retention efforts to achieve disciplined and profitable growth Experience in developing and maintaining strong business relationships (including relationships with agents, brokers, benefits consultants, etc.) Ability to execute seamless product administration and service delivery See job descriptions for more specific requirements. Interested in learning more about the people who work in this area at Aetna? Read a sales & distribution management employee's profile Search our job listings or submit your resume Underwriting Jason Cameron Team C Team Charlie
$15.00 - $50.00 hourly
Aetna Health San Diego, CA, United States
Jan 13, 2018
Full time
Our mission to hire veterans "At Aetna, we appreciate the commitments made by the men and women who serve our country through military service. We will never forget the sacrifices our veterans, active troops and military families have made to protect our freedom. Aetna is committed to building a healthier world with the help of nearly 50,000 employees, including military professionals with diverse backgrounds and experience." Finding the cure for the common health care system Aetna is about more than just doing a job. This is our opportunity to  re-shape health care  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 and our customers. We are  inspired  to make a difference, and we are committed to  integrity  and  excellence . Together we’ll empower people to live healthier lives.  Aetna is an equal opportunity and affirmative action employer- People of Color, Women, Veterans, and Individuals with Disabilities. Actuarial Actuarial Actuaries are our financial architects. They protect the company's financial integrity and long-term success. They balance reserve and risk management practices, product designs and pricing. Actuaries are responsible for anticipating and recognizing matters that could affect financial integrity. We count on them to provide sound, unbiased reports. Actuarial opportunities Opportunities include, but are not limited to: • Actuary I • Actuary II • Actuarial Analyst • Actuarial Consultant • Actuarial Technician • Actuarial Manager • Senior Actuarial Consultant • Actuarial Team Lead What's required Strong analytical, critical thinking and communication skills Demonstrated leadership and initiative Credentialed and non-credentialed positions are available. See job descriptions for more specific requirements. Interested in learning more about the people who work in this area at Aetna? Read an actuarial employee's profile Search our job listings or submit your resume Behavioral Health Behavioral Health Do you want to make a lasting impact on others? Are you looking for a job with dependable hours? Do you want to soar as a professional? Aetna may be the right place for you. At Aetna, we appreciate the difference that behavioral health professionals make in the lives and well-being of our members. We promote career development by offering continuing education, licensure reimbursement and additional certifications. Behavioral Health opportunities Disease Management Care Manager Concurrent Review Care Manager Precertification Case Manager Outpatient Case Manager Intensive outpatient Case Manager Care Planner - Non-licensed Care Associate - Non-licensed Learn more about our behavioral health careers See job openings for behavioral health roles at  Aetna Claims and Customer Service Claims and Customer Service Our customer service and claim areas are the important first line of contact with customers. They work with members, doctors and employer groups (companies) to help them better understand our products and services. They process claims timely and accurately. They provide a human connection when it is needed most. Our customer service team consists of talented, dedicated people with the skills to make a difference in the lives of our customers. The setting is fast paced, and customer satisfaction is a top priority. People who thrive in our organization can handle multiple tasks while maintaining a positive and professional attitude. Our work environment is engaging and diverse. Employees are encouraged to satisfy professional ambitions, take pride in their contributions and share in our success. Claims and Customer Service opportunities Customer Service Representatives Claim Benefits Specialists Service Consultants Supervisors/Team Leaders What's required Customer Service Call center or telephone customer service experience (most positions) Strong communication and problem-solving skills Computer knowledge and experience A two-year college degree is preferred, but not required, depending on experience. Claims Problem-solving skills and the ability to work in a production environment (most positions) Computer knowledge and experience A two-year college degree is preferred, but not required, depending on experience. Interested in learning more about the people who work in this area at Aetna? Read a claims and customer service employee's profile Search our job listings or submit your resume Data Science We are building leading-edge analytics, data and technology platforms to reimagine health care. Positions within our Data Science organization are designed to accelerate your career development and build the skills that will lead you to success. Every day at Aetna, we’re working to improve health care quality, lower costs and connect people to the health information they need. Our Data Science team is focused on delivering strategically meaningful products to our customers by building analytically based solutions that integrate a range of datasets within a cutting-edge environment.  Data Science is composed of two major organizations that contribute to goal of reimagining health care: Data Engineering accelerates the data-to-action process through the latest data and technology capabilities. This group delivers insights for business to take needed actions. We are fundamentally changing the way Aetna does business, one line of code at a time. Analytics & Behavior Change focuses on deep analytics, modeling, machine learning and reporting. We help Aetna manage costs, improve quality, understand its products and create new opportunities.  The variety and complexity of problems we are solving will provide substantial opportunity for personal and professional growth. Locations may include but are not limited to: Hartford, CT Wellesley, MA New York City Preferred qualifications Bachelor’s, Masters or PhD, focused in Computer Science, Business Analytics or similar Willingness to relocate  Effective written and verbal communication Strong analytical and problem-resolution skills Demonstrated technical skills (vary by position) Demonstrated commitment to integrity, the Aetna code of conduct and respect for diversity Interested in applying? Recruitment for Data Science positions occurs throughout the year. See all of our open positions Finance Finance  The Finance Department works with business units and corporate groups to help Aetna meet its financial responsibilities. These include: Supporting sustained profitable growth Managing costs Forecasting accuracy and capital management Maintaining a strong financial control environment Finance opportunities As an employee in the finance area, you would be part of a diverse and knowledgeable team. Finance opportunities include, but are not limited to:  Business Operations Finance Controllers Tax Treasury Internal Audit Planning, Performance & Risk Management Corporate Development Investment Management Actuarial & Medical Economics Achieving Business Excellence Procurement What’s required You'll find a variety of opportunities, each with specific qualifications. In general, the department looks for: A Bachelor’s degree in finance, accounting, economics, math or other related field A GPA of 3.0 or above Strong problem-solving skills Strong communication and interpersonal skills The ability to work both independently and in a team environment Computer skills, especially proficiency with Microsoft Office products Search our job listings or submit your resume Global Opportunities Global Opportunities  Aetna International provides tools, programs and services designed to give our members access to the highest quality health care, anywhere in the world. We offer flexible plans for expatriates and global employers. Aetna International is one of the industry's largest U.S.-based international benefits providers. We serve more than 400,000 members worldwide. They live or travel in more than 100 countries. Aetna International offers products and programs for a variety of organizations throughout the United States, Europe, Asia, the Middle East and Africa. What's required For specific requirements, please review individual job listings. Search our job listings or submit your resume Health Informatics Health Informatics We look at our experiences with health outcomes and health care costs to find ways to improve our business, help our customers and help our members. The health informatics team supports business questions and decisions in many fields, including: Population health management Health and economic outcomes Quality of care Program and product design Provider network design Health Informatics opportunities Informatics Analyst Sr./Lead Informatics Analyst Sr. Informatics Consultant Informatics Manager Sr. Informatics Manager Informatics Head What's required Health informatics positions require advanced technical, analytic and consultative skills. Some positions require specific software skills, such as SAS, SQL, Access, and Excel. Applicants should have an understanding of: Epidemiology Health care benefits Health care financing Health care delivery Health data information systems For more specific requirements, please review individual job listings. Search our job listings or submit your resume Human Resources Human Resources Our Human Resources team recruits, supports, develops, trains and motivates our workforce. We seek to build and maintain a high-performing, inclusive work environment. Our team has earned industry and media recognition for our efforts. Responsibilities include: Delivering payroll services, benefits and wellness programs Providing consultation in change management, talent recruiting, organization design, and performance Promoting and enforcing compliance with relevant laws, regulations, requirements and policies Human Resource opportunities Payroll Employee Relations Executive Staffing Organizational Development Benefits Compensation Employee Fitness and Wellness Human Resources Business Partner Talent Acquisition Human Resources Compliance What's required For specific requirements, please review individual job listings. Search our job listings or submit your resume Information Technology Information Technology  We aim to provide the products, information and services that help lead healthier lives. To succeed, we need people who can take advantage of technology to set us apart from our competitors. Aetna Information Services' (AIS) helps us grow profitably and become the industry leader through technology. We work with our constituents to improve process and performance using a superior delivery capability and robust enterprise architecture. There are many opportunities at Aetna to explore. Information Technology opportunities: Application Development Programmer Application Architect Database Analyst/Programmer Project Management Quality Assurance Analyst Systems Engineer/Designer What's required Creativity, innovation Results-driven thinking Critical thinking skills Collaboration Expertise in any of the following:        - Software Development Lifecycle (SDLC)        - Application Development and Design        - Enterprise Architecture        - Java, J2EE, .NET, Mainframe technologies        - Infrastructure and networking solutions        - Database administration/analysis        - Project management        - Delivery management We offer a variety of opportunities. Each has specific requirements. Please read the job listings that you are interested in to find out what is required. Interested in learning more about the people who work in this area at Aetna? Read an information technology employee's profile Search our job listings or submit your resume Marketing Marketing Marketing professionals reach out to our many audiences: members, plan sponsors, doctors, employees and the media. Our writers and graphic designers inform, persuade and motivate with their art. Marketing professionals work with both print and electronic materials. We strive for cost effective, high-quality communications that improve health literacy. Our materials aim to: Improve the awareness and understanding of what we do Create a positive image for our company and products Increase customer retention and sales Opportunities in Marketing Advertising Design Marketing Communications Internal/External Communications Community Relations What's required Skills in: Microsoft Office Oral communication Preparing and giving presentations Writing Editing Proofreading For specific requirements, please review individual job listings. Search our job listings or submit your resume Nursing Nursing You can do it all at Aetna: Redefine healthcare, help others, grow your career. Think Aetna – Expand your clinical knowledge while partnering with providers to help our members live healthier lives. Watch the following videos to learn more about the work Aetna nurses do and the differences they make in our community: Aetna Nurses making a difference If you’re looking for a career with flexibility and an opportunity to excel as a professional, you’ve found the right place. We appreciate the differences that nurses can make in people’s lives. We promote career development through continuing education, licensure reimbursement, case management certification and more. Let us invest in you through training and professional development unique to the Aetna Way. Learn more about the Aetna Way Nursing opportunities: Utilization Nurse Consultant - RN Health Coach Consultant - RN Appeals Nurse Consultant - RN Quality Management Nurse Consultant-RN Case Manager--RN Nurse Educator--RN Utilization Management  Nurse Associate—LPN/LVN Health Coach Associate–LPN/LVN Appeals Nurse Associate-LPN/LVN Quality Management Nurse Associate-LPN/LVN Read more about our nursing careers See job openings for nurses at Aetna Pharmacy Mail-Order Delivery Pharmacy Mail-Order Delivery  Delivering prescriptions to our members' front doors is just one of the ways we make life easier for them. Pharmacy mail-order delivery is a convenient, cost-saving 24/7 service. It helps people get the medicines they need, when they need them. We process, fill and dispense prescriptions, using professional expertise and guidance. We also keep delivery systems and processes running smoothly. Pharmacy opportunities Pharmacists Pharmacy Operations Pharmacy Administration Pharmacy Maintenance & System Administration Pharmacy Operations Management Read more about our pharmacy careers See job openings for pharmacists at Aetna Sales & Distribution Management Sales & Distribution Management Sales and Distribution Management professionals help us build business in a number of specialized market areas. Their goal is to meet customer needs, while helping people make better decisions about their health and health care spending. Sales opportunities vary from individual contributor roles, such as Sales Support, Account Management and Account Executive, to Management-level positions. You may find these various job functions within the areas outlined below. Sales and Service Sales Support Distribution Channel Management Account Service Consumer Markets Sales and Service Middle Markets Sales and Service Specialty Products Sales and Service National Accounts Sales and Service Group Insurance Sales and Service What’s required Ability to manage Aetna’s sales, service and retention efforts to achieve disciplined and profitable growth Experience in developing and maintaining strong business relationships (including relationships with agents, brokers, benefits consultants, etc.) Ability to execute seamless product administration and service delivery See job descriptions for more specific requirements. Interested in learning more about the people who work in this area at Aetna? Read a sales & distribution management employee's profile Search our job listings or submit your resume Underwriting Jason Cameron Team C Team Charlie
$16.00 hourly
Aetna Health Fresno, CA
Jan 05, 2018
Full time
AETNA Multiple Bilingual Customer Service Rep Openings in Fresno!   Bilingual Spanish Required Start date: March 5, 2018 Salary: $16 per hour Hours: 40hr/wk, M-F, 8am-6pm Location: 1333 East Shaw Ave, Fresno, CA     *Mandatory paid training through May, no time off during training allowed, no exceptions*   POSITION SUMMARY We are currently recruiting top talent for our next class of Customer Service Representatives (CSR) in our Medicare Customer Service group located in Fresno, CA. Aetna Medicare Customer Service delivers innovative, proactive and compassionate service that exceeds our members expectations. We are the knowledgeable, trusted, advocates for our members. The key to our success is our people. Fundamental Components: Customer Service Representatives answer inquiries from our Medicare Advantage members via inbound calls, internet inquiries, and written correspondence. CSRs must be able to deal compassionately with Medicare beneficiaries on a one-on-one basis and focus on their needs through careful listening and patience. CSRs participate in ongoing training and engage in self-development. The CSR must be able to work independently, honor commitments to our members, and collaborate with team members to create a remarkable member experience. The position requires the ability to efficiently navigate multiple systems while resolving complex issues as advocates for our members. Passion for providing exceptional customer service, effective verbal and written communication skills, and willingness to adapt to a changing environment are critical to success in this role. Prior experience providing customer service to the senior population, knowledge of medical terminology, or experience with health insurance plans is preferred. Bilingual proficiency in Spanish is required. BACKGROUND/EXPERIENCE: Bilingual in Spanish is  REQUIRED. 1-2 years Customer Service experience is  REQUIRED . Experience working in a call center is preferred. Healthcare/Medical experience is preferred. Excellent attendance and punctuality are requirements for the position. Flexibility to work an 8 hour shift any time during the office hours of 8 am to 6 pm. Overtime including weekends may be required. EDUCATION The highest level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience   Jason Cameron Team C Team Charlie