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Laiza Lagarto
over 6 months ago

Customer Service Representative jobs for Aetna in Portland, ME

Interested? Give me a call at (678) 608-2736 or send me your resume to recruiters7@qualitystaffingamerica.com. Thanks!

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Laiza Lagarto
over 6 months ago

URGENT HIRING: COMMUNITY HEALTH WORKERS AT AETNA

Are you in the state of Pennsylvania looking for a new opportunity with a prestigious healthcare systems company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!

Job Title: Community Health Worker (Aetna) Shift: M – F, 8am – 5pm Pay Rate: $23.14/hr. OT Pay Rate: $34.71/hr. Double-Time Pay Rate: $46.28/hr. Duration: 12-month contract with a possibility of going perm depending on performance

Tentative Start Date: ASAP

Position Summary/Mission: Community health care workers are members of a community who serve community as a bridge between the member (community) and the healthcare system (providers) through outreach and education. By providing these services, CHW’s help Aetna Better Health members attain and maintain better health outcomes, improve relationships with healthcare providers and help both parties to become more acculturated with each other. CHW’s integration into the Medicaid care delivery model has been shown to improve access to care and leads to better health outcomes.

1) CHW will reach out to Aetna Better Health members with chronic conditions to improve access to care; identify their health care needs, and reduce unnecessary hospitalizations. 2) CHWs will educate healthcare professionals on opportunities for improving and understanding the social determinants of health that may be impacting the member’s health and treatment plan. 3) CHW will become part of the multidisciplinary team treating Aetna Better Health members. This level of involvement will allow the CHW to bridge information back to the treatment team regarding any identified cultural and other psychosocial elements. 4) The CHW will complete a certification program for community health workers. The CHW will be integrated into the medical team and supervised by a designated professional such as Registered Nurse (R.N), Licensed Clinical Social Worker (LCSW), Medical Doctor (MD), and Licensed Professional Counselor (LPC) as deemed appropriate. 5) Community Health Worker will assist with care plan implementation and Aetna Better Health member education during in-home visits, help develop care management strategies, and work with team members to provide linkages for the various health and social needs of Aetna Better Health members. This is a full-time position. Knowledge, Skills, And Qualifications

1) High School Diploma or GED required; 2) Bilingual /target population required. 3) 1-2 years’ experience providing clinical services; experience in community/outpatient setting preferred. Certified Medical Assistant or equivalent training and experience preferred; 4) at least 1 years experience directly related to the duties and responsibilities listed above 5) Experience in serving the Medicaid Populations in urban and rural environments; a. The CHW must be located in one of the following areas in order to be considered for this position: i. Philadelphia and surrounding suburbs ii. Harrisburg and surrounding suburbs iii. Pittsburgh and surrounding suburbs iv. Erie and surrounding suburbs v. Scranton and surrounding suburbs vi. Wilkes-Barre and surrounding suburbs 6) Preferred skills; Mental Health First Aid, Trauma Informed Care, HIPPA, C.L.A.S. Standards, Motivational 7) Interviewing, and specialized training in medical terminology and practices for designated health conditions. 7) Occasional weekend hours may be required. 8) Meet all requirements set forth by local state i.e. first aid, CPR, TB screen, etc. 9) Ability to successfully complete training requirements for position.

Working Conditions

1) Community Health Worker will be working both in the clinical setting within the health center and patient homes. 2) Requires the ability to travel to multiple office locations and home locations. 3) Requires flexibility to work in situations in which the working conditions are unknown, as environments and situation of patient homes may vary.

Interested in Being Considered? Interested in hearing more about this great opportunity? Reach out to Laiza Lagarto at recruiters7@qualitystaffingamerica.com or call (678) 608-2736 for immediate consideration. APPLY NOW!

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debbie hintzer
over 6 months ago

I was fired. After 15 years. I reported to a mgmt team in California my last few years there, and they were horrible. The manager is a megalomaniacal tyrant

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debbie hintzer
over 6 months ago

Only do it if you are truly desperate

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Christina Slade
over 6 months ago

I left after 14 years because they layed off my supervisor, gave me her work, but when raises came around I got nothing. Then the manager was layed off, I got some of her responsibilities, but once again was told I was capped out on my wage for the position I had. Then the senior accountant quit. I had found another job ($5.00/hr more than I was making at Aetna) and put in my two weeks. The director actually had the kahonas to tell me she was going to give me some of the senior accountants work. I like variety, but make no mistake, I'm working for a paycheck.

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Muhmd Shihab
over 6 months ago

Accountant with 4 Year Experience

Hai good after noon,

I am Muhammad Shihabudheen i am looking for a Accounting job in your firm. i have 4 year experience in accounting field.

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Laiza Lagarto
over 6 months ago

URGENT HIRING: CUSTOMER SERVICE REPRESENTATIVE AT AETNA (JACKSONVILLE, FL)

Location: 841 Prudential Drive Jacksonville FL 32207 Shift: M – F, 8am – 5pm Pay Rate: $12.27/hr Duration: 7-month contract with a possibility of going perm depending on performance Tentative Start Date: 05/28/17

Role/Responsibilities: • Answer and direct telephone calls from constituents and non-constituents calling Aetna Corporate Headquarters • Advocate, Educate and Provide a Clear Path to Care for our members and providers in self service options • Listen to the requests from callers and make a determination based on targeted questioning and analysis of information received, the most appropriate resource to whom the caller will be directed.

Background/Experience Desired: • Experience in a production environment • 1-2 years customer service experience based in a call center environment • Experience in consultative sales or consultative customer service • Knowledgeable of Aetna products and services

Interested in Being Considered? Interested in hearing more about this great opportunity? Reach out to Laiza Lagarto at recruiters7@qualitystaffingamerica.com or call (678) 608-2736 for immediate consideration. APPLY NOW!

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Laiza Lagarto
over 6 months ago

URGENT HIRING: PRIOR AUTHORIZATION PHARMACY TECHNICIAN AT AETNA (SUNRISE, FL)

Shift: 8:00AM – 5:00PM Pay Rate: $14.00/hr Duration: 12-month contract with a possibility of going perm depending on performance Tentative Start Date: 08/07/2017 Role/Requirements: • Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria. Determines appropriateness for medications • Communicates decision to physicians, physician’s office staff, medical management staff, and/or pharmacists • Communicates selected prior authorization criteria, pharmacy benefit coverage, and formulary alternatives to physicians, physician’s office staff, medical management staff, and/or pharmacists • Researches, resolves, and documents prior authorization outcomes in the pharmacy system • Escalates requests to Pharmacist when request requires extensive clinical review or denial • Researches, resolves, and documents physician or client inquiries and grievances • Provides verbal or written results to client, prescriber, provider, and/or management.

Requirements: • 6 months experience in retail, hospital, or facility pharmacy setting required • Proficiency in computerized pharmacy systems and software applications required • Excellent verbal and written communication skills • High School Diploma or equivalent • Pharmacy Technician Certification or License • Interested in Being Considered? Reach out and send your resume to Laiza Lagarto at recruiters7@qualitystaffingamerica.com or call (678) 608-2736 for immediate consideration. APPLY NOW!

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Laiza Lagarto
over 6 months ago

URGENT HIRING: PRIOR AUTHORIZATION PHARMACY TECHNICIAN AT AETNA (TAMPA, FL)

Shift: 8:00AM – 5:00PM Pay Rate: $14.00/hr Duration: 12-month contract with a possibility of going perm depending on performance Tentative Start Date: 08/07/2017 Role/Requirements: • Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria. Determines appropriateness for medications • Communicates decision to physicians, physician’s office staff, medical management staff, and/or pharmacists • Communicates selected prior authorization criteria, pharmacy benefit coverage, and formulary alternatives to physicians, physician’s office staff, medical management staff, and/or pharmacists • Researches, resolves, and documents prior authorization outcomes in the pharmacy system • Escalates requests to Pharmacist when request requires extensive clinical review or denial • Researches, resolves, and documents physician or client inquiries and grievances • Provides verbal or written results to client, prescriber, provider, and/or management.

Requirements: • 6 months experience in retail, hospital, or facility pharmacy setting required • Proficiency in computerized pharmacy systems and software applications required • Excellent verbal and written communication skills • High School Diploma or equivalent • Pharmacy Technician Certification or License •
Interested in Being Considered? Reach out and send your resume to Laiza Lagarto at recruiters7@qualitystaffingamerica.com or call (678) 608-2736 for immediate consideration. APPLY NOW!

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Bobby Roper
over 6 months ago

No one looking over your shoulder

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