A Brief Overview

Our unit handles the setup, calculation, payment, and chargeback of membership and claim based State assessments for twelve states. Many state has multiple assessments and each state has unique requirements. This position's primary support will be to support New York's HCRA assessment; however, we work collaboratively and the job will provide support as needed for all functions. Under the state assessment team, this role will work collaboratively with account managers, contacts at the various States and departmental colleagues.

What you will do

• Review and process NYHCRA election forms for new customers who elect Aetna as their TPA for NYHCRA.
• Identify and explain errors on customers paperwork to internal contacts.
• Follow up on outstanding cases to ensure timely resolution.
• Enter all pertinent data into our internal BOT to ensure customer data is fed into our systems appropriately.
• Properly document and file all election information to appropriate on-line folders.
• Explain NYHCRA regulation to account managers, internal contacts, customers, brokers.
• Provide backup support for other functions, as needed.
• Strong written and verbal communication skills
• Ability to work under pressure
• Must be able to manage multiple priorities and deadlines.
• Must be able to work with high volumes during peak periods. Periodic overtime will be required.
• Multi-task to accomplish workload efficiently
• Understand and initiate ideas for the development of policies and procedures of own unit in the performance of specific job functions
• Maintain strong collaborative relationship with customers and internal business partners to maintain a high performance culture
• Provide professional, prompt, and accurate service to all internal and external clients.

Required Qualifications
• 2-4 years work experience

• Strong problem solving and decision making skills

Preferred Qualifications

• CCI knowledge •

• Excel and Access proficiency

We support a hybrid work environment. If selected and you live near a suitable work location, you may be expected to comply with the hybrid work policy. Under the policy, all hires for in-scope populations should be placed into a hybrid or office-based location, working onsite three days a week.

Aetna Service Operations office/hub locations will be discussed with the selected candidate.

Education
Bachelor's degree preferred or equivalent work experience

Pay Range

The typical pay range for this role is:

$43,888.00 - $76,500.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit Benefits | CVS Health

We anticipate the application window for this opening will close on: 11/11/2024

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.