The Aetna Extraordinary Examinations Unit (SIU) Information Investigation group is searching for an information driven person that can dissect large information and make a story through information collection and detailing. The ideal up-and-comer would have a strong comprehension of social information bases, clinical and drug guarantee information, experience with question improvement and information investigation and a longing to learn new things.

Work liabilities include:

- Supervise or potentially help project group with making inquiries and announcing instruments

- Creation and ideal accommodation of administrative detailing connected with extortion, squander and mishandle exercises

- Information on examination devices to dissect huge informational collections to recognize, break down and decipher patterns in complex informational collections

- Make and convey messages in view of information examinations, including planning straightforward representations and other related archives for assorted crowds

- Grasp information subtleties; further develop information quality

- Work with counsels from key useful regions to comprehend potential task influence on the association, adjust project work, and execute exercises appropriately

- Create and partake in show and meeting with colleagues on information, capacities and execution results

- Capacity to investigate information inconsistencies and approve and recognize new information sources to extend detailing open doors that help FWA drives and targets

- Impact change with upgrades to business cycles, approaches and framework foundation to further develop data quality, accessibility and access

This is a work-from-home situation in the US. Ideal area would uphold East Coast hours.

Required Capabilities

- 4 years of strong comprehension and experience deciphering clinical and drug guarantee information

- High level involvement with Succeed

- High level involvement in at least one of the accompanying: SQL (In addition to), SAS (in addition to), Python, Power BI, Scene

- 3+ long periods of information understanding and examination experience

- 4 + long periods of undertaking the executives experience

- Solid business as well as frameworks information

- Capacity to work in a group climate and freely oversee responsibility/expectations

Favored Capabilities

- Experience in medical services extortion, waste and misuse

- Experience with Medicaid as well as Medicaid medical care claims information and administrative detailing

- Information on medical services claims settlement

- 4+ long periods of exhibited administration

Training

Four year certification or identical experience

Job Benefits:

• Health Benefits: Because Aetna Is A Health Insurance Company, It Generally Offers Comprehensive Health Benefits, Including Health, Dental, And Vision Insurance, To Eligible Employees And Dependents.
• Wellness Programs: Aetna Promotes Employee Wellness Through A Variety Of Programs, Which May Include Exercise Groups, Health Challenges, And Resources To Maintain A Healthy Lifestyle.
• 401(K) Retirement Plan: Aetna May Offer A 401(K) Plan That Allows Employees To Save For Retirement Through Tax-Deductible Contributions. Some Companies Also Offer Matching Offers.
• Time Off (PTO): This Can Include Vacation Days, Sick Days, And Statutory Holidays, Allowing Employees To Take Time Off Work While Still Being Paid.
• Flexible Spending Accounts (FSA): These Accounts Allow Employees To Withdraw Pre-Tax Dollars To Cover Medical, Dental And Dependent Care Expenses.
• Life Insurance And Disability Insurance: Aetna Can Provide Life Insurance And Disability Insurance To Help Protect Employees And Their Families Financially.
• Employee Assistance Programs (Eaps): Eaps Provide Support For Personal And Employment Issues, Including Counseling, Legal Assistance, And Financial Planning.
• Professional Development: Aetna Can Provide Professional Development Opportunities Through Training, Courses, And Educational Resources.
• Parental Leave: Maternity And Paternity Leave To Support Employees When They Become Parents.
• Tuition Assistance: Some Companies, Including Aetna, Offer Tuition Reimbursement Or Assistance Programs To Help Employees Continue Their Education.
• Employee Discounts: Discounts On Aetna Health Insurance Plans And Other Potential Products And Services.
• Remote And Flexible Work: Depending On The Service, Aetna May Offer Flexible Work Arrangements Or Remote Work Options.