Job Description: At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart. Job Responsibilities: Analyzes and develops Dental Network Performance Guarantees including Recruitment, Provider Turnover, Access, and discount Guarantees. Ensures all provider information is analyzed using both internal and external sources. Maintains all Network Performance Guarantees in flight and accurately tracks, reports results to management and provides high level summary analysis on risks and mitigation plans. Provides support for dental network provider data analysis associated with projects, expansions, and new product implementations. Resolves high volume/high impact systemic problems through proactive and reactive mechanisms (e.g. automation, route audit programs, data reporting, root cause analysis). Identifies, researches and conducts root cause analyses (e.g. problem providers identified by PST, rework and audit trends) and recommends process improvements. Ensures that all impacted constituents are considered and appropriately addressed in action plans. Provides technical and/or functional leadership within unit (i.e., team lead). Performs validation of system CRM enhancements. Extract information from provider systems to meet business reporting needs (i.e., reports, fee schedule reports, Service Center Log. Job Requirements: Microsoft Office expertise. Associate degree or higher required College degree; MSU/MEU experience Written & virtual presentation skills. Superb analytical skills & critical thinking. Strong communication skills. Job Details: Company: Aetna Vacancy Type: Full Time Job Location: Visalia, CA, US Application Deadline: N/A Apply Here vacanciesforyou.net
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