Bring your heart to Aetna Health. Every one of us at Aetna Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors support this purpose. We want everyone who works at Aetna 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.
We are seeking a dedicated and detail-oriented Analyst, Case Management Specialist to join our team remotely. As an integral part of our organization, you will be responsible for managing cases efficiently and effectively, ensuring smooth workflows and optimal resolution outcomes. If you thrive in a dynamic environment, possess excellent analytical skills, and are committed to delivering exceptional results, we encourage you to apply.
Responsibilities:
Case Management: Handle incoming cases promptly, assessing their nature, and assigning appropriate actions.
Analysis: Conduct thorough analysis of case data, identifying trends, patterns, and potential issues.
Documentation: Maintain accurate and detailed case records, ensuring compliance with company standards and regulatory requirements.
Communication: Collaborate closely with team members and stakeholders to gather information, provide updates, and facilitate resolution of cases.
Problem-Solving: Proactively identify challenges and propose effective solutions to streamline case management processes.
Quality Assurance: Conduct regular reviews of case files to ensure accuracy, completeness, and adherence to internal policies.
Reporting: Prepare and present reports on case metrics, performance indicators, and key findings to management as required.
Continuous Improvement: Participate in ongoing training and professional development activities to enhance skills and knowledge in case management practices.
Qualifications:
Bachelor’s degree in a relevant field such as Business Administration, Criminal Justice, or a related discipline.
Proven experience in case management, preferably in a remote or virtual setting.
Strong analytical abilities with the capacity to interpret complex data sets and draw actionable insights.
Excellent communication skills, both written and verbal, with the ability to interact effectively with diverse stakeholders.
Proficiency in utilizing case management software and other relevant tools.
Exceptional attention to detail and accuracy in documentation.
Ability to work independently with minimal supervision while also functioning effectively within a team environment.
Commitment to upholding confidentiality and maintaining the highest standards of professionalism and ethics.
Requirements:
Access to a reliable high-speed internet connection.
A dedicated workspace conducive to remote work, free from distractions.
Availability to attend virtual meetings and training sessions as needed.
Strong time management skills and the ability to prioritize tasks effectively.
Flexibility to adapt to changing priorities and deadlines.
