Aetna Full-Time Remote Work From Home
Industry: Private
Employment Type: Full Time
Work Hours: 8
Salary: £35 – £45Hour
Location: United Kingdom
Company: Aetna
Descriptions:
Aetna Full-Time Remote Work From Home
The Senior Scientific Expert is liable for the investigating issues connected with requests and related regions. One ought to be capable in performing main driver examination and recognizing likely remedial activities.
Major Parts:
Use logical reports including cases and requests information to distinguish issues.
Coordinate with cross useful group to make sense of distinguished issues and partake in arrangement conversation.
Work with arrangement recognizable proof and execution of underlying driver remedy activities.
Ready to obviously distinguish whether the issues are coming about because of clinical or authoritative interaction connected with requests.
Perform impromptu investigation of little arrangement of issues and capacity to extrapolate it to enormous informational index to make significant ends.
Get ready show materials to make sense of issues in straightforward organization.
Get ready proposals in light of examination performed.
Creates project plans and courses of events; answerable for project responsibilities to quality and on-time expectations.
Presents investigation and reports to interior clients and partners.
Goes about as a tutor to different investigators.
Aetna Full-Time Remote Work From Home
Required Capabilities
High level information on Federal medical care requests process and the related handling framework
at least 4 years’ involvement in a mix of at least one of the accompanying ranges of abilities: information examination, Government medical care consistence, Aetna clinical strategy
AND capacity to examine information from dashboard
Experience making an interpretation of business prerequisites into specialized necessities for building mechanization capacities. CPT codes, clinical approach, claims handling information and other supporting regions engaged with requests handling.
Experience with STAR metric effect connected with requests handling .
Should be OK with utilizing on the web, free figuring out how to learn/research new abilities/frameworks.
Capacity to impart specialized thoughts and results to non-specialized clients in composed and verbal structure.
Capacity to form preparing reports and lead instructional courses on new devices.
Experience driving venture; major areas of strength for groups abilities with the capacity to work really with all degrees of the board and staff.
Solid joint effort and relational abilities inside and across groups.
Solid critical thinking, insightful, decisive reasoning and task the executives abilities.
Capacity to oversee clashing needs and different undertakings simultaneously.
Aetna Full-Time Remote Work From Home
About the Aetna Company:
Aetna, a prominent name in the U.S. healthcare industry, has evolved into a comprehensive health benefits provider. Now a subsidiary of CVS Health, the company offers a wide range of health insurance plans and related services.
A Rich History
Founded as an insurance company in the 19th century, Aetna’s roots are deep in the American business landscape. Named after the active volcano Mount Etna, symbolizing strength and resilience, the company has mirrored that spirit in its operations. Over the decades, Aetna expanded its services beyond property insurance to encompass health insurance, becoming a major player in the managed care sector.
A Focus on Member Well-being
Aetna’s core mission is to help people live healthier lives. The company achieves this by offering a variety of health insurance plans tailored to individuals, families, and employers. These plans cover medical, dental, behavioral health, and pharmacy benefits. Beyond traditional insurance, Aetna also provides a range of programs and services aimed at preventive care, chronic disease management, and wellness initiatives.
The CVS Health Partnership
In a strategic move to enhance its healthcare offerings, Aetna merged with CVS Health in 2018. This partnership brought together a pharmacy giant and a leading health insurer, creating a powerful force in the industry. The combined entity aims to deliver more accessible, affordable, and effective healthcare solutions by integrating pharmacy, medical, and behavioral health services.
A Commitment to Innovation
Aetna is at the forefront of healthcare innovation. The company leverages technology to improve the member experience, streamline administrative processes, and enhance care delivery. From digital health tools to data analytics, Aetna is committed to finding new ways to improve health outcomes and lower costs.
Challenges and Opportunities
The healthcare industry is dynamic, marked by constant changes in regulations, technology, and consumer expectations. Aetna, like other major players, faces challenges such as rising healthcare costs, increasing competition, and the need to adapt to evolving consumer preferences. However, the company also enjoys significant opportunities to expand its market share, develop innovative products, and improve population health.
In conclusion, Aetna is a vital component of the U.S. healthcare system. With its rich history, extensive network, and focus on innovation, the company is well-positioned to continue serving the evolving needs of its members and customers. As part of CVS Health, Aetna is poised to play a pivotal role in shaping the future of healthcare in America.
Aetna Full-Time Remote Work From Home