Table of Content
Members should discuss any matters related to their coverage or condition with their treating provider. Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites.
The retail giant offers both part-time and full-time positions in a variety of departments, so you can find a role that’s a good fit for your skills and interests. In that case, you may want to know a career in information such as how to apply, Aetna’s selection process, interview questions answers, hiring methods, etc. Aetna is a great place to start your career with competitive salaries and benefits, and there is an opportunity for advancement. If you’re looking for job vacancies with better employment benefits and salaries Aetna might be the place for you. Aetna offers a variety of opportunities for career growth.
Nike – Remote – Software Engineer
You’ll also get to Aetna work with a team of fellow employees to keep the store running smoothly. Aetna recruitment offers a variety of positions at both its beginner to corporate level. Aetna hiring does include work-from-home jobs and remote places. There are many different types of Aetna careers available to people with a wide range of skills and interests. Whether you want to work at a senior level or an entry-level, there is a job opportunity with Aetna careers for you.
As a Customer Service Representative, the image you project over the telephone and how you handle the caller’s situation is the public’s perception of Aetna. This is a work from home opportunity for anyone living in the CST time zone. Stay in touch with our International recruiting team on social media.
Part Time
While the Dental Clinical Policy Bulletins are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. The Dental Clinical Policy Bulletins describe Aetna's current determinations of whether certain services or supplies are medically necessary, based upon a review of available clinical information. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply.
If you have questions about our application process or want to validate recruiter contact, please visit our frequently asked questions page. The remote customer service rep will support specialty pharmacy patients by assisting with prescription refills & answering order or insurance inquiries. Qualifications include a HS diploma or the equivalent & a year of customer service experience. Will review clinical information, interface with staff, adhere to guidelines and provide industry-specific expertise. RN license and 3+ years' related experience required. Duties include assessing member needs, planning, implementing, & coordinating case management activities, reviewing prior claims, and meeting goals & objectives.
Customer Service Agent/in (m/w/d) in Vollzeit
Partial remote position will perform applied statistical research/customer analysis of healthcare data, make recommendations about data collection methods, present analytic reports, and deliver solutions. Respond to inbound calls and live chat from healthcare customers, provide information about company services, and resolve customer service questions. Requires 1 year customer service experience and Spanish fluency.
Aetna's conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna). Some plans exclude coverage for services or supplies that Aetna considers medically necessary. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. While the Clinical Policy Bulletins are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. The Clinical Policy Bulletins express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic.
Logistics Customer Service Representative- Work from Home
Aetna Dental Clinical Policy Bulletins are developed to assist in administering plan benefits and do not constitute dental advice. Treating providers are solely responsible for dental advice and treatment of members. Members should discuss any Dental Clinical Policy Bulletin related to their coverage or condition with their treating provider. CVS Health is the leading health solutions company that delivers care in ways no one else can.
CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. No fee schedules, basic unit, relative values or related listings are included in CPT. The American Medical Association does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product.
WFH job for candidate who will own the specialty benefits automation strategy and vision, maintain an outcome-oriented product roadmap, prioritize features and capabilities, and decide when to deliver software. Will collect requirements, collaborate with team, lead solution development and create business models. High school diploma and 8+ years' related experience required. Design conceptual models, handle clinical initiative planning, ongoing client relationship management, and provide guidance to internal/external partners and vendors. Work remotely during CST or EST and travel to Falls Church, VA or Minneapolis, MN.
Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates . Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Through our health services, insurance plans and community pharmacists, we're pioneering a bold new approach to total health. If you’re looking for a job with great benefits and a stable schedule, Aetna might be the place for you.
At least 2 years of relevant experience is required. The sr. claims data specialist will handle claim data management processes, help create product offerings, & lead process improvements. Requires at least three years' claim processing experience & a year of recent customer service exp. The patient assistance rep will help patients obtain financial assistance for drug therapies. Six months' medical insurance, financial assistance, or related experience is required. Full-time position with the option of remote work.
Duties include monitoring team attendance, hiring & managing the performance of team members, compiling performance reviews, and providing support to other departments as needed. Many positions are currently remote due to the COVID 19 pandemic and will be under evaluation moving forward for a return to on-site operations. If you’re interested in applying for a Aetna job, you can visit the company’s website to search for open positions. You can also stop by your local Aetna store and speak to the manager about available positions. Senior Claims Benefit Specialist is needed for a remote role. He/She will review and adjudicate complex, sensitive, and/or specialized claims in accordance with processing guidelines.
COMPANY
Will address health indicators, conduct assessments, coordinate activities and resolve issues. Bachelor's degree and 3+ years' related experience required. All services deemed "never effective" are excluded from coverage. Aetna defines a service as "never effective" when it is not recognized according to professional standards of safety and effectiveness in the United States for diagnosis, care or treatment. Visit the secure website, available through , for more information. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search."
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