18 jobs found

JOB SUMMARY: The Biller/Collector Specialist is responsible for timely and appropriate billing and collection of monies from Payors on specialized and complex accounts.  In addition, differentiating the Biller/Collector Specialist from Biller Collectors I-III, this positions is responsible for providing advanced, high-caliber problem identification and resolution as it pertains to billing, collections as well as coding.      ESSENTIAL JOB DUTIES (May include all or some of the following): - Follows-up on all assigned accounts from within the IDX/PCS systems in accordance with pre-established goals - Initiates proactive measures that result in account resolution on assigned projects involving specialized or advanced issues - Researches and analyzes accounts and payments; reverses balances to credit or debit if charges were improperly billed or if payments were incorrect - Ensures that all conditions for payment receipt have been satisfied, which includes, but is not limited to, accurate charges and financial class; authorization/certification/TAR information; claims address; ICD-9 and CPT-4 coding; patient insurance eligibility, patient benefit coverage; patient responsibility - Responds timely and accurately to all incoming correspondence and inquiries from payers, patients, and other appropriate parties - Initiates contact with patients, as necessary - Initiates recommendations and action plans for resolving accounts to operations and client management. - Evaluates accounts to determine any write-offs or corrections required, including duplicate charges - Prepares refund requests for any monies due to patient or insurance company - Responds to all phone calls from other departments or insurance companies in an efficient and courteous manner - Writes appropriate notes in IDX for every account, including any action taken - Writes action plans and account summary of issues and maintains appropriate documentation of all issues and projects. - Handles in a professional and confidential manner all correspondence, documentation, and files - Reviews various reports to identify denials and edits; corrects claims; suggest action plans to eliminate these denials/edits in the future; determines appropriateness for appeal - Prepares write-offs requests for denied claims which cannot be appealed - Reconciles accounts from collection agencies on a monthly basis - Acts as liaison with collection agencies, to include resolution of issues, recalls, and “exception” accounts - Works on special accounts/projects, as requested by management. - Elevates issues, as appropriate, to management - Responsible for specialized processes and accounts - Meets daily and weekly productivity standards - Supports CSMNS core values, policies, and procedures - Meets with clients as needed to discuss issues and report on action plan. KNOWLEDGE, SKILLS AND EXPERIENCE: - Five (5) or more years experience in a large billing/collection office. - Extensive experience with the Epic system, Outlook, Excel and Word. - Strong data analysis skills. - Strong knowledge of all payer types. - Ability to work on special projects - Knowledge of CPT-4 and ICD-10 coding and reimbursement guidelines. - Ability to work in teams and independently. - Ability to follow directions and manage completion of multiple tasks within specified timeframes. - Demonstrated ability to interact with clients and colleagues in a thoughtful and attentive manner. - Ability to manage multiple priorities, think tactically as well as strategically. - Demonstrating objectivity, delivering results and show initiative and creativity.   LICENSES/CERTIFICATIONS: - High school diploma or equivalent required. - Certified Procedural Coder (CPC) certification required. les in a professional and confidential manner all correspondence, documentation, and files - Reviews various reports to identify denials and edits; corrects claims; suggest action plans to eliminate these denials/edits in the future; determines appropriateness for appeal - Prepares write-offs requests for denied claims which cannot be appealed - Reconciles accounts from collection agencies on a monthly basis - Acts as liaison with collection agencies, to include resolution of issues, recalls, and “exception” accounts - Works on special accounts/projects, as requested by management. - Elevates issues, as appropriate, to management - Responsible for specialized processes and accounts - Meets daily and weekly productivity standards - Supports CSMNS core values, policies, and procedures - Meets with clients as needed to discuss issues and report on action plan.       James

Description:   If you've got a passion for people and the desire to succeed, a position as a CarMax Sales Consultant may be for you! CarMax is a growing company that is built on the fundamental principles of integrity and treating people with respect. Here are more reasons why our Associates love working for America’s #1 used car retailer: A Great Place to Work CarMax has been named one of the FORTUNE 100 Best Companies to Work For® since 2005. Our Associates work in a supportive, diverse, and fun environment that fosters a work/life balance. This positive work environment leads to a positive customer experience, and is a big part of why 95% of our customers would refer us to their friends. Top-Notch Training Don’t have automotive sales experience? CarMax is ranked as one of the best training companies in America. You’ll enjoy world-class, training with your own personal sales mentor who is dedicated to your success. We provide ongoing training, support self-development, and we learn as a team. Career Growth and Recognition With more than 180 stores nationwide and growing, CarMax Associates have fantastic career opportunities. Our incentive programs provide the potential for additional earnings, recognition, and perks! CarMax Sales Consultant responsibilities include: – Providing exceptional service throughout the customer’s experience. – Communicating effectively both in-person and over the phone to discover the customer’s wants and needs. – Serving as an advocate for CarMax by sharing what makes us the smart choice. – Navigating and using various provided computer programs as selling tools. – Consulting and guiding your customers to the appropriate next step based on their situation. – Facilitating steps of the sale, such as the vehicle appraisal process, taking test drives, and submitting finance applications. – Maintaining a working knowledge of CarMax products and appropriately recommending them to customers. – Reading, collecting, and transcribing data in order to complete accurate paperwork. – Seeking out opportunities for self-development, participating in training, and welcoming performance feedback. – Building and maintaining strong relationships and demonstrating excellent teamwork. – Maintaining the sales area so our vehicles and products are neatly and accurately displayed. This position may require other duties as assigned. For store positions, the responsibilities may vary by store. Anthony Altemoos Team C

Responsible for providing management of the casino floor for all Table Games, Bingo, Poker and Slot Operations/ Technical in compliance with the Company’s policy and procedure, objectives, goals and Gaming regulations. Interacts effectively with the public and Team Members. Performs excellent guest service at all time.   Implements and ensures compliance with approved policies, procedures, regulations and direct personnel in accordance with department objectives.   Assists with the analysis of Table Games, Slots, Bingo and Poker to endure maximum profitability and efficiency.   Ensures the efficient operation of all table games, poker, bingo and slot operations/technical on an assigned shift.   Reviews and evaluates on a regular basis table games, poker room, bingo and slots guest service departmental performance, working with the Directors and Managers in taking appropriate steps in resolving unsatisfactory results or conditions.   Oversees departmental operations on assigned shift in the absence of departmental directors.   Delegates the authority of all monetary transactions and makes decisions on such matters as short pays/no pays and guest short-change.   Maintains awareness of current promotional programs and new gaming devices while overseeing player development within Table Games, Slots, Bingo and the Poker Room.   Promotes positive guest relations and resolves and/or investigates guest problems or disputes.  Reviews disciplinary actions initiated by staff.   Maintains visibility to all internal and external guests while on duty.  Recognizes and interacts with guests and casino staff.   Verifies and ensures payouts of large jackpots and ensures fills/credits are properly executed.   Coordinates investigations into the resolution of variances to ensure compliance with company policies and employee integrity levels.   Ensures the accuracy of all time, attendance and variance records.   Maintains appropriate staffing levels and equitable scheduling for assigned shift.   Initiates and maintains communication with subordinates, team member, management and other departments.   Adheres to regulatory, departmental and company policies in an ethical manner.   Works any casino position on an emergency basis.   Maintains a consistent, regular attendance record.   Ushers for events as needed by management.   Performs any reasonable request made by management. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. .                 EDUCATION and/or EXPERIENCE: High School Diploma or GED required.  Bachelor’s degree in accounting, business administration or related field from a four-year college or university or an equivalent combination of education and experience that enables performance in all aspects of the position required. Five years of experience in a management capacity required.  Previous experience in casino operations, hospitality, sales, marketing and/or public relations is preferred.                  SPECIAL QUALIFICATIONS: Must be able to maintain a gaming license.  Strong organizational and communication skills, both verbal and written required.  Sound understanding of specific computer functions, including developing spreadsheets.  Knowledge of local jurisdiction gaming laws (federal, state, etc.) and attendant regulations as well as the Company’s internal controls, policies and procedures.                   LANGUAGE SKILLS: Ability to read and interpret financial data and documents such as safety rules, operating and maintenance instructions, and procedure manuals.  Ability to write routine reports (financial) and correspondence.  Ability to speak effectively and respond to questions from guests or the general public, employees, and managers.                   MATHEMATICAL SKILLS: Ability to work with mathematical concepts such as probability and statistical inference.  Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.                   REASONING ABILITY: Ability to define problems, collect data including financial, establish facts, draw valid conclusions, and make the appropriate recommendation to management.  Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables. Anthony Altemoos Team C  

Customer Service Associate These are  contracted roles  starting ASAP! Candidates must be readily available and living in the Bay Area.  Compensation: $15 an hour   Responsibilities: Deliver an exceptional experience by guiding borrowers through the application process, responsible for all inbound and outbound phone calls, chat, and email support Identify and implement creative process improvements to continue to reinvent the customer experience for our borrowers   Qualifications: 6+ months of experience in customer service, phone support Passion for delivering a great customer experience Strong communication skills and the ability to empathize with others Impeccable intuition and an acute attention to detail Familiarity with underwriting loans, financial statements, tax documents and payroll is a plus   Natasha Glynn Team B Natasha.Glynn@WorkForWarriors.org (916)854-1363

Deal game/s efficiently and accurately, providing friendly and proactive interaction with all Guests and Team Members. Provide 4-Diamond service to Guests by being knowledgeable about Thunder Valley Casino and communicating its promotions and events. Perform responsibilities in accordance with all company standards, policies and procedures.   +Tips Natasha Glynn Team C

Perform responsibilities in accordance with all company standards, policies, and procedures. Responsible for greeting and seating guests. Ensures that bus persons have tables cleared and set on a timely basis. Update table status using the Host Alert system. Update and manage the wait list using the Host Alert system. Process guest checks using the Info Genesis system. Essential Functions • Responsible for practicing, supporting, and promoting Thunder Valley Casino’s “Winning Attitude” Company-wide culture and demonstrating Thunder Valley Casino’s AAA Four Diamond Service Standards at all times. • Greet guests at the entrance verbally with a warm welcome and inquiring about the number in their party. • Seating parties evenly throughout open stations or, placing parties on a waiting list using established guidelines. • Controlling the entrance area, organizing parties waiting to be seated. • Updating table status using the Host Alert system.   Natasha Glynn Team C

Responsible for slot floor operations which include jackpots payments, minor machine repairs, paper changes, bill jams, currency and coin exchange, ticket redemption and Player’s Card sign-ups. Requires a high level of multitasking between guest requests and casino floor operations while maintaining a positive attitude and providing friendly, efficient service to our internal and external guests. Properly implement all Title 31 procedures. Observe and safeguard assets of the company. Perform responsibilities in accordance with all company standards, policies and procedures   Natasha Glynn Team C

Seeking Project Controls Associates to travel to various job sites in South Bay, East Bay, Fresno and Eureka Excellent opportunity – great pay and benefits!  Looking for Project Controls Associates whom have experience in the oil and gas and/or major utility construction industry. This position will be working with Project Managers and Superintendents and will be traveling to the various job sites.   Duties and Responsibilities:   · Establish Budgets from Estimate · Set up tracking systems from templates in Excel · Track and Analyze project cost & progress · Cost and progress reports sent out weekly · Create RFI’s and Maintain log · Create Change Order estimates with input from PM & Superintendent · Compile Change Order packages · Attend various meetings with customers · Subcontract management · Assist with project forecast · Assist with compiling documents for billing packages · Work with PM to update project schedule · Ensure committed costs for accuracy (committed vs. actual cost analysis)   Requirements:   · Bachelor’s degree in Construction Management or Civil Engineering preferred. · Minimum 2 years’ experience in Cost Controls preferably in the oil & gas industry and/or a major utility industry. · Strong organizational skills · Ability to multi-task and prioritize · Intermediate to Advanced skills with Microsoft Excel   · High degree of accuracy and attention to detail · Strong verbal and written communication skills · Ability to travel on short notice across Northern and Central California · Variable working hours from 40 to 60 hours a week based on project schedule · MS Office Programs experience also required (i.e. Word, Outlook, Project, Power Point). Includes Medical, Dental, Vision and 401k.             Team D   Sammi Messiha

GENERAL JOB SUMMARY: For the assigned platform and platform derivatives, is the design authority for the product including all new development and product enhancements.  Has overall accountability for technical platform product lifecycle direction to meet strategic business objectives.  Responsible for facilitating the integration of multi-program/project requirements without compromising the integrity of the platform and ideally optimizing both the design/manufacturing configuration and the cost.  May be assigned to lead complex, multi-system, multi-discipline engineering projects.   ESSENTIAL JOB FUNCTIONS: Technical lead on unmanned aircraft system. Support program management and project engineer with development of program planning strategies, technical cost estimates, evaluation of alternatives, risk management, logistics management, cost-performance trade-offs, preparation of data, status updates and presentations at customer reviews Directs and works with project engineer(s) to develop solutions to customer requirements, and facilitates resolutions where platform conflicts arise Manages and directs the engineering resources effort and time required to maintain the budget and schedule provided for the assigned platform(s). Ensures roles and responsibilities are clearly defined and coordinated with project engineer(s). Provides support to Project Engineer(s) as necessary, to include, but not limited to project planning, estimating, execution of project tasks and management of IPT. Assists the functional managers with developing and implementing improved procedures and standards to ensure that output is high quality, accurate, on-time, and within budget; which includes establishing metrics (key performance indicators) for the engineering projects and accountabilities for achieving results. Provides direction and leadership on technical and technology issues and collaborates with Technical Director as appropriate from cross-platform issues and lessons learned. Defines and manages risks of technical approaches in terms of state-of-the-art resources/tools and personnel needs. Assist in accomplishing human resource strategies by communicating and enforcing values, policies, and procedures; mentoring platform Project Engineer(s), providing input into the appraisal of employees, and reviewing/recognizing job contributions. Fosters ethical conduct and personal integrity throughout Engineering to ensure CEis ability to attract and retain customers in a highly competitive environment. Assists the rroject engineer(s) with customer interfacing as necessary, ensuring that all company products and services are meeting customer requirements, goals, and expectations. Reports progress in meeting external/internal customer requirements, goals, and expectations. Manages and directs design reviews in support of technical interchange meetings with suppliers and external/internal customers. Provide mentorship to platform project engineer(s) Supports business development efforts both in preparation of quotes and proposals as well as sales efforts SUPERVISORY RESPONSIBILITY:   Supervises the Engineers and Analysts supporting the relevant platform, HWCI, or CSCI.   KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:    Ability to maintain sensitive and confidential information as required by government standards Ability to interact effectively with peers and supervisors Ability to interact appropriately with the public when necessary Ability to adhere to workplace rules Knowledge of military operations. Excellent communication and relationship skills with Senior Leadership, Program Management, Customers and engineering team members. Proficiency with MS Office products, including MS Project for IMS (Integrated Master Schedule) development and review. Knowledge of compliance elements for ISO, EVMS and Export regulations. Knowledge of finance, accounting and earned value management practices and procedures. Strong understanding and experience with engineering fundamentals. Strong presentation preparation and delivery skills with audiences such as Subcontractors, Prime and Government. Demonstrated passion for customer satisfaction Demonstrated strong communication (verbal, written, and presentation) skills Ability to travel as necessary to perform job duties Engineering and/or project management experience  Additional Desirable Skills: Demonstrated ability to work cross-functionally to meet department and company goals and requirements for assigned platform(s). Engineering management experience in the aerospace industry Proficiency in Earned Value reporting and Control Account Management is desired. Knowledge of CEi operations and procedures.   Experience and Skills:     EDUCATION AND EXPERIENCE: BS in Engineering, MS degree preferred in a related technical field (Engineering or equivalent) 12+ years related engineering experience May be required to obtain and maintain a U.S. security clearance at the appropriate level (requires U.S. Citizenship).    WORK ENVIROMENT / PHYSICAL REQUIREMENTS: Office environment Ability to stand and sit for long periods of time Ability to perform repetitive motion (keyboarding, 10-key, phones) Ability to lift up to 25 pounds May work in manufacturing environments with potential exposure to uncontrolled climate conditions and potential exposure to noise, dust and hazardous chemicals Travel required, up to 25%     Angelica Rodriguez Team C  

Responsible for monitoring and detection operations of Fraud detection. 

At Wells Fargo, our vision is to satisfy our customers’ financial needs and help them succeed financially. In this role, you will help us deliver on our vision and build lifelong relationships with our customers. You also will demonstrate leadership through contributing to a company culture that supports customers in achieving their financial goals, team members in developing their careers,  and communities in continuing to thrive. As part of a team that serves one in three American households, you will play a vital role in living our commitment to the highest ethical standards and maintaining the valued trust of our customers and communities. A teller provides exceptional customer service and spends almost all of his/her time working with Wells Fargo’s most important asset, our customers. Tellers are responsible for a variety of tasks including providing excellent customer service, processing account transactions effectively, helping resolve customer concerns in a timely fashion, following proper procedures to minimize errors and reduce fraud, and sharing the benefit our customers may receive when meeting with a banker, when appropriate.  Tellers are expected to always balance their cash drawers, build great rapport with people, and be strong team players who take pride in performing well and enjoy helping others.        Personal Bankers at Wells Fargo are focused on building lifelong relationships with customers, both consumers and small businesses.  Successful bankers demonstrate a genuine interest in their customers and ask questions to understand what’s important to them and how Wells Fargo can help meet their financial needs.  Personal Bankers develop strong relationships with other Wells Fargo partners that enable them to introduce customers to specialists who can assist with specific financial needs.  Personal Bankers are able to present options to customers about ways to make their banking easy and convenient, while ensuring the needs of the customer always come first. This SAFE position has customer contact and job duties which may include the offering/negotiating of terms and/or taking an application for a dwelling secured transaction.  As such, this position requires compliance with the S.A.F.E. Mortgage Licensing Act of 2008 and all related regulations. Ongoing employment is contingent upon meeting all such requirements, including acceptable background investigation results.  Individuals in a SAFE position also must meet the Loan Originator requirements under Regulation Z (LO) outlined in the job expectations below. Important Note: During the application process, ensure your contact information (email and phone number) is up to date and upload your current resume prior to submitting your application for consideration. If you are a Wells Fargo Team Member, in your Jobs Profile ensure that your email address is valid and updated to an address that can receive external emails outside of the banking network and is a different email address than the one you originally used when you joined WF. Initial contact with you will be made via e-mail. Please check your e-mail regularly for updates Angelica R. Rodriguez Team C Team Charlie

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

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