This position is responsible for provider/vendor//market outreach, production management, and reporting for the Risk Adjustment Retrospective Programs.
Advanced finance position performing complex assignments requiring advanced information reporting, analytical and communications skills. Will track and organize data, report information and apply to support planning/production management, issues identification & resolution, and results reporting.
Will serve as a Subject Matter Expert for the unit participating in and supporting projects directed at utilizing information to engage providers, vendors, network associates to optimize risk adjustment revenue by obtaining member medical records. Will lead/support provider, market/territory, network, vendor meetings and ad hoc requests. Will work with CVS and/or Aetna Compliance/Legal to research compliance and vendor contracting issues as necessary.
5+ years finance related experience generally required, healthcare finance a plus. Excellent communication skills and negotiations skills Advanced Microsoft Excel, SAS skills desired Advanced skills in turning data into information and apply judgment.
Additional Job Information
This position significantly impacts company results enabling Aetna to be competitive in the market place and effectively service its customers. Partners with business owners to optimize and achieve business objectives, to include both profitable growth and improved organizational effectiveness
Bachelor's degree or equivalent experience
Percent of Travel Required
0 - 10%
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.