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Senior Product Consultant - Medicare Part D REMOTE - Columbia, SC #4414191


Company: Aetna

Date: 01/12/2018

Category: Manufacturing — Other

City: Columbia, SC

Req ID: 48080BR


POSITION SUMMARY


Provides support for significant product initiatives with some technical and product knowledge. All HPMS/CMS related product initiatives will be completed in Q1-2 followed with plan configurations and communications materials, then QA efforts in Q3-4. Additional responsibilities completing business requirements and test plans will be completed throughout the year. Provides business analysis support.


Location Notice: This is a Work from Home position not based in an office.


Fundamental Components:


Primarily responsible for annual product submission into HPMS Periodically monitoring, validating and updating information in HPMS Individual must be attentive to details with high degree of accuracy for data entry Ensures that systems are designed, developed, implemented and maintained from a product and business/customer point of view Must be able to write clear and concise business requirements and test plans Must be able to perform various levels of Quality Assurance such as new/enhancements to product development, plan set up (claim analysis), member communication materials (ANOC/EOC) Participates in idea generation and project vision session for the development of new products and product enhancements Strong cross-functional team player with ability to work with other members across the organization and business areas Be part of various projects especially Annual Enrollment Period (AEP) Provides business analysis support such as researching claims system capabilities, develops SR requests, supports business reporting


BACKGROUND/EXPERIENCE desired:


3-5 years direct work experience in Medicare environment - Medicare Claims Analysis In-depth understanding of the regulatory environment (primarily Medicare Part D) and submission of regulatory bids Understanding of Medicare Part C is a plus Ability to work independently with minimal supervision Strong written and verbal communication skills Knowledge of SDLC life-cycle is a plus Proficiency of Microsoft Suite products at intermediate level is a requirement


EDUCATION


Required level of education for candidates in this position is a Bachelor's degree.


FUNCTIONAL EXPERIENCES


Quality Assurance//1-3 Years Medical/Individual Medicare Advantage Plan/1-3 Years Products-Medical/Individual Medicare Prescription Drug Plan/1-3 Years


WORKING WITH US


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 candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.


Job Function: Marketing


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