Aetna Jobs From Home $30-70/Hour

Job Responsibilities: Manager Business Consultant

Salary: $30-70/Hour

Company: Aetna

Location: Austin, USA

Educational Requirements: Bachelor Degree

About the Company: Aetna Inc. is an American-managed healthcare company that sells traditional and consumer-directed healthcare insurance and related services, such as medical, pharmaceutical, dental, and behavioral health.

Full Job Description:

Responsible for supplying steering and direction to external providers, external specialists, team individuals and/or matrixed body of workers as required to support ACA IFP risk Adjustment revenue Integrity initiatives. Responsible for leading the reconciliation of information (coding review outcomes and clinical record images) from distinctive resources, figuring out gaps with within the technique, and main to broaden more efficiency inside the system. Act as enterprise lead for device layout and in trying out new capabilities, in addition to, the help of auditing sports related to seller reconcilation of coding effects and clinical document pictures in addition to other technical projects. Power alternate associated with upgrades and machine fixes. Know-how interdependencies both manner clever and timing wise, to similarly business objectives. To be successful, the candidate will use their knowledge and revel in to create which means from the statistics. This position also supports coordination throughout all shared services and vendors to assure records integrity and records validation tactics are in region. You will be liable for auditing duties which include documenting and comparing crucial controls. You may be chargeable for understanding methods, consequences and enterprise impacts; and file and express such information in each written and verbal form. Conducts periodic updates of analytical routines and branch manufacturing structures. Investigates and evaluates opportunity solutions to meeting commercial enterprise wishes.

Aid 1m IFP individuals via tightly dealing with seller facts exceptional and timeliness; ensure statistics is ingested into crew to force submissions; any and all crew validation mistakes are labored well timed to make sure submission completeness; analyse and apprehend digital retrieval to maximize outcomes; customise ACA reporting views and outreach manager information wanted for day after day operations paintings.

Pay variety

The standard pay range for this position is:

Minimal: $30/Hr

Maximum: $70/Hr

This pay range represents the bottom hourly price or base annual full-time revenue for all positions inside the activity grade within which this role falls. The real base revenue provide will depend upon a variety of factors which includes enjoy, education, geography and different applicable factors. This position is eligible for a CVS fitness bonus, fee or quick-time period incentive software in addition to the base pay range listed above.

Further on your repayment, enjoy the rewards of an company that puts our heart into worrying for our colleagues and our groups. The organisation gives a full variety of medical, dental, and imaginative and prescient blessings. Eligible personnel may additionally join in the company’s 401(k) retirement financial savings plan, and an employee stock purchase Plan is also to be had for eligible personnel. The corporation gives a completely-paid time period life insurance plan to eligible employees, and short-time period and long term incapacity blessings. CVS fitness also gives numerous nicely-being programs, education assistance, unfastened improvement publications, a CVS shop bargain, and bargain applications with taking part companions. As for day without work, organization personnel revel in Paid day off (PTO) or excursion pay, as well as paid vacations at some stage in the calendar year. Number of paid holidays, sick time and other time without work are provided constant with relevant state law and employer regulations.

Required qualifications

Need to have experience with IT application improvement lifecycles, methodologies.
Revel in influencing others with the aid of turning statistics into meaningful and actionable records
Revel in with SAS/SAS EG/Python/square server in data analytics and manipulation
Interest to detail
Dealer management experience
Strong negotiation capabilities
Experience documenting commercial enterprise tactics, in addition to, recommending and enforcing development techniques.
Capacity to carry out testing features.
Participates in device layout.
Potential to audit the accuracy of reporting towards source documents/reports/databases.
Capacity to put into effect auditing procedures
Five or extra years of healthcare, medical health insurance, or applicable aggregate of experience
Strong problem-solving, analytical, critical thinking and task control skills.
10+ years experience with numerous of the following methodologies: control consulting, undertaking consulting, business procedure consulting, economic strategic evaluation strategic business making plans, and/or chance management consulting.
Experience with CMS threat Adjustment applications

Education

Bachelor’s diploma in mathematics, Economics, records, pc technology, Actuarial science, Social science, Healthcare or associated subject. Or equal enjoy.

Aetna Jobs From Home $30-70/Hour

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Aetna Jobs From Home $30-70/Hour