Job Details


Company name
Aetna Inc.

South Portland, ME

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Posting Job TitleNetwork Account ManagerJob GroupHealth CareEEO StatementAetna is an Equal Opportunity, Affirmative Action EmployerReq#45881BRPrimary LocationME-South PortlandLocationsME-South PortlandPercent of Travel Required0 - 10%Potential Telework PositionNoFull or Part TimeFull TimeSupervisoryNoJob DescriptionPOSITION SUMMARYFacility and Provider facing, solutions-oriented position to deliver extraordinary service to our healthcare partners. Project management of Provider Network operational functions including Medicare and Commercial requirements. Fundamental Components:Responsible for collaborating and providing excellent service for our Hospital, Facility and Provider relationshipsMajority of the role is resolving any and all Provider Partner issues including credentialing and claims issues Project management for internal audits and compliance reviews encompasses a significant component of the job expectationsWill work across all departments for a solution solving approach to meet Provider needsBACKGROUND/EXPERIENCE desired:Professional relationship building skillsAbility to multi-task in a fast paced environmentAbility to project manage operational functions1-5 years industry experience or proven customer service relationsWorking knowledge of healthcare preferred Analytical/data driven decision-making skillsStrong analytical and written/oral communication skills.EDUCATIONThe highest level of education desired for candidates in this position is a Associate's degree or equivalent experience.LICENSES AND CERTIFICATIONSCustomer Service/Associate Customer Service Specialist is desiredInformation Management/ is desiredOffice Support/ is desiredHealthcare Management/ is desiredFUNCTIONAL EXPERIENCESFunctional - Customer Service/Customer Service - Member Services - Traditional products/1-3 YearsFunctional - Administration / Operations/Data Entry/1-3 YearsFunctional - Project Management/Intra-department project management/1-3 YearsFunctional - Network Management/Provider relations/1-3 YearsFunctional - Network Management/Provider data services/1-3 YearsTECHNOLOGY EXPERIENCESTechnical - Desktop Tools/Microsoft Outlook/1-3 Years/End UserTechnical - Desktop Tools/Microsoft PowerPoint/1-3 Years/End UserREQUIRED SKILLSService/Providing Solutions to Constituent Needs/ADVANCEDBenefits Management/Interacting with Medical Professionals/ADVANCEDADDITIONAL JOB INFORMATIONPositive work environmentAbility to grow and learn the healthcare industryAetna 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.Employment TypeRegularCareer Band DescriptionProfessional

Company info

Aetna Inc.
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Company Profile
Aetna Inc. operates as a diversified health care benefits company in the United States. The company operates in three segments: Health Care, Group Insurance, and Large Case Pensions. The Health Care segment provides medical, pharmacy benefit management, dental, behavioral health, and vision plans on an insured basis, and an employer-funded or administrative basis. This segment also provides Medicare and Medicaid products and services, as well as other medical products, such as medical management and data analytics services, medical stop loss insurance, workers' compensation administrative services, and products that provide access to its provider networks in select markets. This segment offers its products and services to multi-site national, mid-sized, and small employers, as well as individual customers. The Group Insurance segment provides life insurance products comprising group term life insurance, voluntary spouse and dependent term life insurance, group universal life, and accidental death and dismemberment insurance; disability insurance products; and long-term care insurance products, which offer benefits to cover the cost of care in private home settings, adult day care, assisted living, or nursing facilities. This segment provides insurance products principally to employers that sponsor its products for the benefit of their employees and their employees’ dependents. The Large Case Pensions segment manages various retirement products, including pension and annuity products for tax-qualified pension plans. The company’s customers include employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, governmental units, government-sponsored plans, labor groups, and expatriates. Aetna Inc. was founded in 1853 and is headquartered in Hartford, Connecticut.

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