Experienced Ranking Director - Merchant Management Opportunity with Aetna Better Health of Oklahoma

Join Aetna Better Health of Oklahoma as a Ranking Director - Merchant Management

Aetna Better Health of Oklahoma, a subsidiary of CVS Health, is a trusted health partner in the Oklahoma community they serve. As a leading healthcare organization, they provide a comprehensive range of innovative services that enhance overall well-being and improve daily life for their members. At Aetna Better Health of Oklahoma, they value professional development and career growth, offering a supportive environment where employees can thrive.

About the Role

We are seeking an experienced Ranking Director - Merchant Management to join our team on a full-time telecommuter basis in Oklahoma. As a key leader, you will oversee the performance of subcontractors serving Aetna Medicaid members across the state and drive business operations forward. This role requires occasional visits to our Oklahoma City office, based on business needs.

Key Responsibilities

• Subcontractor Performance Management: Direct the performance of subcontractors serving Aetna Medicaid members throughout the state and Aetna Better Health of Oklahoma business operations.
• Strong Subcontractor Relationships: Develop and maintain strong relationships with subcontractor management teams and directors to ensure contractual requirements are met or exceeded.
• Client Service Excellence: Ensure proper prioritization of State and Plan requests to guarantee outstanding client services are provided to members and suppliers.
• Strategic Recommendations: Recommend appropriate actions, strategies, and/or solutions to address business issues.
• Project/Program Management: Oversee all aspects of project/program management, including planning, coordination, development, and execution, considering financial implications while prioritizing work, resources, and time.
• Project Delivery: Confirm that project deliverables and business operations meet business objectives and that all expectations and deadlines are met.
• Government Liaison: Liaise directly with government officials and report on project status.
• Claims/Experiences Review: Review claims/experiences and complete projects as necessary.
• Claims Guidance: Interpret claims guidance and/or policies and be responsible for progress execution.
• Cross-Functional Collaboration: Support and assist with additional functional activities as needed.
• Data Exchange and Reporting: Oversee data exchange and reporting.
• Interdepartmental Relationships: Manage relationships across departments or different functional areas.

Essential Qualifications

To be considered for this role, you must:

• Reside in Oklahoma.
• Possess relationship management expertise.
• Have project/program management experience.
• Demonstrate proficiency with PC, keyboard navigation, and MS Office Suite applications (Teams, Outlook, Word, Excel, SharePoint, Quickbase, Asana, etc.).
• Have reliable transportation and be willing and able to travel in-state up to 10% of the time, with mileage reimbursed per our company expense reimbursement policy.

Preferred Qualifications

While not required, the following qualifications are highly desirable:

• Medicaid experience.
• Advanced knowledge of Excel and Pivot Tables.
• Strong verbal and written communication and interpersonal skills.
• Claims processing experience.

What We Offer

At Aetna Better Health of Oklahoma, we offer a competitive salary of $25/hour, along with a comprehensive benefits package and opportunities for professional growth and development. As a member of our team, you will be part of a dynamic and supportive work environment that values diversity and inclusion.

Career Growth and Learning Benefits

As a Ranking Director - Merchant Management, you will have opportunities to develop your skills and expertise in a fast-paced and evolving healthcare environment. You will be able to:

• Develop strong relationships with subcontractors and stakeholders.
• Drive business operations forward and achieve strategic objectives.
• Enhance your project management and leadership skills.
• Stay up-to-date with industry trends and best practices.

Work Environment and Company Culture

Aetna Better Health of Oklahoma is committed to creating a work environment that is inclusive, diverse, and supportive. Our company culture is built on the principles of Heart at Work, which emphasizes the importance of bringing your heart to every moment of health and well-being. As a member of our team, you will be part of a collaborative and dynamic work environment that values:

• Diversity and inclusion.
• Professional development and growth.
• Teamwork and collaboration.
• Innovation and creativity.

Compensation, Perks, and Benefits

We offer a comprehensive compensation package that includes a competitive salary, benefits, and perks. While specific details may vary, our benefits package typically includes:

• Medical, dental, and vision insurance.
• Retirement savings plan.
• Paid time off and holidays.
• Opportunities for professional development and growth.

Join Our Team!

If you are a motivated and experienced professional looking for a new challenge, we encourage you to apply for this exciting opportunity. Even if you feel you're not a perfect match, we'd still love to hear from you. We are looking for great people to join our friendly team.

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