Job DescriptionHelp us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our?Dual Eligible Special Needs Plan?(DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members health care and social determinant needs. Join us in this exciting opportunity as we grow and expand DSNP to change lives in new markets across the country. ? Position Summary/Mission:??The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination,...

Job Description The Manager of Retail Customer Experience will have primary responsibility for the day-to-day operation of our Retail CX reporting, closed-loop-feedback tool and being a voices of customer champion for stores. The role supports the Customer Experience Measurement programs with the regular project management elements of these programs. This includes communication management, questionnaire design support and programming, stakeholder and vendor management, account team training and support, survey vendor/platform management, analysis among other duties. This role is critical to the day-to-day elements of facilitating large-scale tracking CX study programs in Retail specifically. You will report to the Lead Director of Customer Experience, Enterprise Insights. Responsibilities include: * Assist with vendor/platform management by managing colleague access, training and support as well as researching potential platform inconsistencies and opportunities for improvement...

*Job Description*The Manager Rebate Client Support oversees a team that supports the rebate process for our largest clients. The team intakes and manages requests and questions related to how rebates were invoiced and collected/settled. The team also fields ad hoc client data and reporting requests. The Manager ensures the team has adequate access, processes, and resources to successfully support our clients.This position works closely with the Claims, Registration, Research, Invoicing, Recon, and Payments teams to maximize rebate accuracy and limit client service warranty payouts resulting from incorrect invoice submissions. This position also engages and collaborates regularly with key personnel and leaders from many other areas across the organization, including Audit, Underwriting, Trade, Account Management, and IT.A successful candidate will have the following skills:- Ability to mentor, inspire, and develop a growing and diverse team- Excellent oral and written communication...

Job Description bswift is currently seeking an experienced Client Relationship Manager to join our Direct Client Services Team. Located in downtown Chicago, bswift offers software and services that streamline benefits, HR and payroll administration for employers and public and private exchanges nationwide. bswift's state-of-the-art cloud-based technology and outsourcing solutions significantly reduce administrative costs and time-consuming paperwork, making life easier for administrators and millions of consumers who enroll in benefits with bswift. The Client Relationship Manager (CRM) is directly responsible for helping bswift meet and exceed client expectations by supporting consumers on our best-in-class HR software and services. The Client Relationship Manager (CRM) will manage the strategic relationships for direct, large-market clients. This individual will: •Consistently reflect our core values of higher standards, greater accountability, and more fun to bswift...

Job DescriptionThis position is permanent work from home for any candidate in the state of California.This position also includes a $1000 sign on bonus as well as an additional $2000 180 days post training! The sign on and retention bonuses are not applicable to current internal employees of CVS or Aetna. (Bonuses are only applicable to specific positions, locations, and business groups.)The Health Concierge is the face of Aetna to provide targeted, personalized service based on a holistic view of the member, benefits, health information, and through engagement.* Handles customer service inquiries and problems via telephone, internet, web-chat or written correspondence. -* Engages, consults and educates members based upon the member's unique needs, preferences and understanding of Aetna plans, tools and resources to help guide the members along a clear path to care.* Utilizes resources to assist customers in understanding components of the Aetna products including claims,...

Job DescriptionThis position is work from home for any candidate in the CST/EST time zone.This position also includes a $1000 sign on bonus as well as an additional $2000 180 days post training! The sign on and retention bonuses are not applicable to current internal employees of CVS or Aetna. (Bonuses are only applicable to specific positions, locations, and business groups.)Customer Service Representatives are the face of Aetna to provide targeted, personalized service based on a holistic view of the member, benefits, health information, and through engagement. Handles customer service inquiries and problems via telephone, internet, web-chat or written correspondence. Engages, consults and educates members based upon the member's unique needs, preferences and understanding of Aetna plans, tools and resources to help guide the members along a clear path to care. Utilizes resources to assist customers in understanding components of the Aetna products including claims, accumulators,...

Job DescriptionThis position is permanent work from home for any candidate in the PST/MST/CST time zones.This position also includes a $1000 sign on bonus as well as an additional $2000 180 days post training! The sign on and retention bonuses are not applicable to current internal employees of CVS or Aetna. (Bonuses are only applicable to specific positions, locations, and business groups.)The Health Concierge is the face of Aetna to provide targeted, personalized service based on a holistic view of the member, benefits, health information, and through engagement.* Handles customer service inquiries and problems via telephone, internet, web-chat or written correspondence. -* Engages, consults and educates members based upon the member's unique needs, preferences and understanding of Aetna plans, tools and resources to help guide the members along a clear path to care.* Utilizes resources to assist customers in understanding components of the Aetna products including claims,...