Job Description
To support the service and administration of Aetna’s Health Services products to achieve profitable growth. This will be achieved through the development of strong relationships and execution of processes and workflows that effectively meet customer and Plan Sponsor needs.

Responsibilities Include:
• Develops and executes customer product/plan administration: Meets (virtually) with customers at least quarterly to discuss overall service levels and expectations, share process improvements, discuss operation of plans, identify gaps in service levels, determine root causes and develop solutions
• Identifies customer specific service issues, identifies solutions and leads resolution of issues working with other areas to implement
• Responds to customers’ requests for claim analysis, plan design changes, and benefit questions and clarifications
• Collaborates with account management team to achieve growth/renewal objectives; assists in preparation and delivery of renewal packages
• Supports all plan administration activities, including reporting, installation, plan set-up, eligibility, billing and drafting
• Notifies customers of Aetna policy changes / network changes, determining impact to customer and providing consultative support
• Supports scheduling of customer meetings and preparation for these meetings.
• Leads weekly service call with customers; creates agenda with feedback from internal / external teams

Required Qualifications
– Bilingual – Spanish/English
-Proficient in Excel

COVID Requirements
COVID-19 Vaccination Requirement
CVS Health requires its Colleagues in certain positions to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated.

• If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 30 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 60 days of your employment. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.

• If you are unable to be fully vaccinated due to disability, medical condition, pregnancy, or religious belief, you will be required to apply for a reasonable accommodation within the first 30 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. If your request for an accommodation is not approved, then your employment may be terminated.

Preferred Qualifications
– 1-3 years experience customer / claims experience
– Sales force

Education
High school graduate; some college experience preferred

Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities