key member of the Claim Optimization Technical Team
supporting the Commercial Claim Rework Reporting program
responsible for preparing and delivering production and ad hoc reporting
performing data analysis using multiple system data sources
transforming complex data into clear, actionable insights
manage multiple priorities while maintaining a high level of accuracy and timeliness
partner closely with the Claims organization and supporting teams

5+ years of directly related experience
3+ years of healthcare experience
Knowledge of Aetna claim processing platform(s) (ACAS/HRP/QNXT)
Experience with ETL tools such as Alteryx and/or Dataiku
Strong Microsoft Excel skills, including VBA
Data analytics experience with the ability to analyze, transform, and present data into meaningful insights
5-7 years of Service Operations experience
Ability to communicate effectively with all levels of management
Excellent active listening, written and verbal communication skills
Collaborative work style

Manager, Project Program Management

Key skills