Req ID: 22938BR
POSITION SUMMARY
Function as the member eligibility product owner. Seek out opportunities to implement new process flows or streamline existing flows with the goal of improving member and client satisfaction and ensure financial accuracy. Swiftly troubleshoot issues and recommend solutions. Improve efficiency of the member eligibility process. Collaborate with program delivery, developers and testers on requirements, clarifications, and testing. Brainstorm possible alternatives to limit member disruption. Recognize when something requires further investigation to ensure quality member experience.
Fundamental Components:
- Ability to multi task as an art form is extremely important, as well as the ability to independently prioritize project work, issues and response to adhoc requests.
- Strong analytical skills and innovative problem solving abilities.
- Ability to understand complex system interactions and flows.
- Motivated and is willing to understand and probe into technical details and data irregularities.
- Ability to work independently
- Sound decision making
- Proven collaboration across various teams.
- Attention to detail and accuracy while focusing on overall project deliverables.
- Negotiation and conflict resolutions skills across various levels of the organization. (negotiating dates and priorities)
- Highly organized and able to quickly prioritize multiple assignments with high quality results.
- Strong interpersonal communication skills using active listening and open ended questions to encourage others' points of view to influence others to achieve best practices.
- Effective verbal and written communication skills.
- Participates in testing of system changes, fixes or upgrades.
- Mediates and coordinates resolution of all project deliverables as it relates to the pharmacy organization.
- Possesses functional knowledge of the other units in the department and organization.
BACKGROUND/EXPERIENCE desired:
Proven communication skills both written and verbal
Past positions required acting as a project lead and directing a team
Proven ability to affect change/interpersonal skills
3-5 years healthcare industry experience
Solid Project Management and supervisory skills
Experience with Agile methodologies highly preferred
In depth knowledge of pharmacy products, services and system capabilities, especially member eligibility.
EDUCATION
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
FUNCTIONAL EXPERIENCES
Functional - Products-Other/Aetna Pharmacy Products/4-6 Years
Functional - Project Management/Issue identification and analysis/4-6 Years
Functional - Claims/Claim processing - Pharmacy/4-6 Years
Functional - Management/Management - Operations/4-6 Years
REQUIRED SKILLS
General Business/Demonstrating Business and Industry Acumen/ADVANCED
General Business/Ensuring Project Discipline/MASTERY
Leadership/Driving a Culture of Compliance/ADVANCED
DESIRED SKILLS
General Business/Applying Reasoned Judgment/MASTERY
Leadership/Creating Accountability/ADVANCED
Leadership/Developing and Executing Strategy/ADVANCED
Telework Specifications:
Full-Time Telework (WAH)
Flexible telework / office-based schedule (can live near any office location)
Considered for any US location; training period in the office may be required
ADDITIONAL JOB INFORMATION
This is an excellent opportunity for someone seeking a high impact, high visibility position. Everything we do impacts the member directly, therefore attention to detail and responsiveness are key. Its an opportunity to wear many different hats - Product Owner, Issue Triage, Subject Matter Expert, Advisor.
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.
We conduct pre-employment drug and background testing. Benefit eligibility may vary by position. Clickhereto review the benefits associated with this position.
Job Function: Management