Aetna Insurance Jobs – Engagement Spec

Job Description:

Aetna is expanding our Engagement Hub services. The Engagement Hubs are focused on driving member engagement into Aetna’s Care Management programs, while also delivering care services to members who do not need long term support but have immediate care needs. The Engagement Specialist is responsible for telephonic outreach to and enrollment of our eligible members. Our Engagement Specialists demonstrate a highly energetic blend of salesperson, health care navigator and health plan customer support representative. The Engagement Specialist is responsible for direct member outreach and engagement, facilitating case assignment, and connecting identified members to care managers immediately through a warm transfer.

Job Responsibilities:

• Works efficiently and independently, meeting deliverables and deadlines
• Adheres to care management, privacy and confidentiality, and quality management processes in compliance with regulatory, accreditation guidelines, company policies and procedures
• Conducts triage, connecting members with appropriate care team personnel including care managers and customer service
• Demonstrates an outgoing, enthusiastic, and caring presence over the telephone.
• Effectively meets daily metrics with speed, accuracy, and a positive attitude. The metrics are focused on unique members attempted daily and the volume of members that agree to enroll in care management. This is not a sales position, enrollment is free, but influencing is important to this work.
• Documentation is critical to success. The Engagement Specialist accurately and consistently document each call in the members electronic record, thoroughly completing required actions with a high level of detail to ensure we meet our compliance requirements
• Demonstrates an ability to be agile, managing multiple priorities at one time, and adapting to change with enthusiasm
• Initiates telephonic engagement with assigned members to introduce the program with the goal of enrolling the member in Aetna Care Management.

Job Requirements:

• The highest level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience.
• Strong organizational skills, including effective verbal and written communications skills
• Bilingual (Spanish) preferred
• Call center experience preferred Familiarity with basic medical terminology preferred
• Flexibility to work occasional nights and weekends outside of standard business hours which can span from 8:00 am 8:00 pm
• Experience with computers including knowledge of Microsoft Word, Outlook, and Excel – data entry and documentation within member records is preferred
• 2 years of experience preferably in customer service, telemarketing and/or sales

Job Details:

Company: Aetna

Vacancy Type: Full Time

Job Location: Harrisburg, PA, US

Application Deadline: N/A

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