Aetna Product Implementation Manager (49666BR) in Fresno, California

Req ID: 49666BR

POSITION SUMMARY

The Product Implementation Manager/Associate position will be responsible for CMS bid submission and implementation of Individual Medicare products to downstream systems with a focus on quality assurance, ensuring end-to-end that what we implement is consistent with our product filings.

For business continuity, we would prefer candidates on the west coast for this position.

Fundamental Components:

  • Support and assist local market expansion application submission as needed.

  • Ensure SAE/SAR HPMS activities are completed timely.

  • Understand and communicate CMS regulation changes impact to benefit design and system set up.

  • Ensure all CMS bid submission activities are on time and accurate with respect to CMS requirements, corporate systems requirements, and strategic initiatives.

  • Ensure accuracy of benefit data in bid submission, member materials, sales/marketing materials and internal/external websites.

  • Work with local market and operational partners to implement new plans and benefits internally and externally (vendor set up, claims adjudication, system setup, etc.)

  • Other product implementation activities and assignments as needed.

BACKGROUND/EXPERIENCE desired:

  • 5+ years related cross-functional, project management experience.

  • 3 - 5+ years CMS Bid submission experience, including PBP software setup, PBP entry and HPMS submission, Desk Review and NAMBA.

  • Highly organized and detail oriented with proof-reading and quality control skills.

  • Have strong interpersonal skills and the ability to work independently and in a team environment.

  • Must demonstrate strong project management skills: multi-tasking priorities and facilitating/executing multiple marketing programs.

  • Strong written and verbal communication skills.

  • Proven ability to collaborate across boundaries.

  • Intermediate analytic skills.

EDUCATION

The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

FUNCTIONAL EXPERIENCES

Functional - Management/Management - Medicare/1-3 Years

Functional - Project Management/Cross-functional project management/1-3 Years

Telework Specifications:

Full-Time Telework (WAH)

ADDITIONAL JOB INFORMATION

Aetna 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.

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Job Function: Marketing