{"version":"0.1","company":{"name":"YubHub","url":"https://yubhub.co","jobsUrl":"https://yubhub.co/jobs/at/aetna/"},"x-facet":{"type":"company","slug":"aetna","display":"Aetna","count":6},"x-feed-size-limit":100,"x-feed-sort":"enriched_at desc","x-feed-notice":"This feed contains at most 100 jobs (the most recently enriched). For the full corpus, use the paginated /stats/by-facet endpoint or /search.","x-generator":"yubhub-xml-generator","x-rights":"Free to redistribute with attribution: \"Data by YubHub (https://yubhub.co)\"","x-schema":"Each entry in `jobs` follows https://schema.org/JobPosting. YubHub-native raw fields carry `x-` prefix.","jobs":[{"@context":"https://schema.org","@type":"JobPosting","identifier":{"@type":"PropertyValue","name":"YubHub","value":"job_e6244967-c90"},"title":"Senior Manager for the Test Center of Excellence","description":"<p>We&#39;re building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.</p>\n<p>At Aetna, our health benefits business, we are committed to helping our members achieve their best health in an affordable, convenient, and comprehensive manner.</p>\n<p>As a Senior Manager for the Test Center of Excellence team, you will oversee the design and implementation of the test strategy and process governance. You will lead programs for test domains, associated applications, and functional testing support teams. Additionally, you will develop methodologies to achieve top-notch quality, cost efficiency, and timely deliverables.</p>\n<p><strong>You&#39;ll make an impact by:</strong></p>\n<ul>\n<li>Leading and overseeing the processes within the organisation&#39;s Quality Assurance area, ensuring alignment with the overall business strategy.</li>\n<li>Developing and leading the test strategy for various components, including unit testing, user acceptance testing, end-to-end testing, regression testing, financial neutrality testing, and performance testing, across claims platforms, including Medicare pricing and HealthEdge Source-related testing.</li>\n<li>Establishing and monitoring the ongoing capabilities required for an effective test environment.</li>\n<li>Creating targeted and comprehensive test scenarios with statistically valid volume to ensure the expected performance of benefits and contracts, including Medicare pricing, provider, configuration, and claim scenarios.</li>\n<li>Managing the identification, resolution, and mitigation of defects, including analysis of Source-related pricing and claims behaviour and validation of expected versus actual outcomes.</li>\n<li>Providing recommendations for enhancing metrics and reporting standardisation.</li>\n<li>Integrating standards with quality principles and methodologies.</li>\n<li>Designing, developing, and implementing process improvement changes for the organisation.</li>\n<li>Building relationships with technical and organisational leaders to ensure alignment and achievement of long-term testing objectives, partnering with Medicare, Source, business, and technology stakeholders as appropriate.</li>\n<li>Advising management on issues related to process implementation and refinement, including Medicare and Source testing risks, coverage, and quality considerations.</li>\n<li>Managing team performance through regular feedback, timely evaluations, and fostering engagement, motivation, and team development.</li>\n</ul>\n<p><strong>Required Qualifications</strong></p>\n<ul>\n<li>7+ years of experience in Quality Assurance</li>\n<li>5+ years of experience in design and execution of test strategy, which includes components such as unit testing, user acceptance testing, end to end, regression testing, financial neutrality, performance testing, etc.</li>\n<li>Multiple years proven leadership experience setting strategic direction and influencing change that resulted in quantifiable positive outcomes.</li>\n<li>Knowledge of Medicare lines of business</li>\n<li>Experience with HealthEdge Source or comparable healthcare claims pricing platforms, with the ability to interpret pricing behaviour, configurations, release changes, defects, and expected claim outcomes.</li>\n<li>Ability to travel up to 10%</li>\n</ul>\n<p><strong>Preferred Qualifications</strong></p>\n<ul>\n<li>Experience supporting HealthEdge Source release and regression testing, including analysis of pricing changes, historical defects, and production claim scenarios.</li>\n<li>Ability to translate Medicare and Source subject-matter expertise into test scenarios, expected outcomes, defect analysis, and reusable testing knowledge.</li>\n</ul>\n<p><strong>Education Requirements</strong></p>\n<ul>\n<li>Bachelor&#39;s degree required or equivalent experience</li>\n</ul>\n<p><strong>Pay Range</strong></p>\n<p>The typical pay range for this role is: $82,940.00 - $182,549.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company&#39;s equity award program.</p>\n<p><strong>Benefits</strong></p>\n<p>We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.</p>\n<p>This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.</p>\n<p style=\"margin-top:24px;font-size:13px;color:#666;\">Job Data by <a href=\"https://yubhub.co\">YubHub</a>.</p>","url":"https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/CT---Work-from-home/Senior-Manager-Medicare-Testing_R1089681","directApply":true,"hiringOrganization":{"@type":"Organization","name":"Aetna","sameAs":"https://cvshealth.com","logo":"https://logos.yubhub.co/cvshealth.com.png"},"x-apply-url":"https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/CT---Work-from-home/Senior-Manager-Medicare-Testing_R1089681","x-work-arrangement":"remote","x-experience-level":"senior","x-job-type":"full-time","x-salary-range":"$82,940.00 - $182,549.00","x-skills-required":["Quality Assurance","Test Strategy","HealthEdge 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Medicare business operations and organizational activities across the health plan.</li>\n<li>Monitor financial performance, manage budgets, and implement corrective actions as needed.</li>\n<li>Build, lead, and develop high-performing teams, including managers, while fostering accountability, engagement, and talent development.</li>\n<li>Partner across the organization to drive strategic initiatives, remove barriers, and elevate key decisions to executive leadership.</li>\n<li>Develop and execute sustainable growth strategies that deliver long-term profitability.</li>\n<li>Collaborate with Medicare segment partners to support monthly performance reviews, bid execution, and other Medicare Advantage operational requirements.</li>\n</ul>\n<p><strong>Required Qualifications</strong></p>\n<ul>\n<li>10+ years of leadership experience managing Medicare Advantage within a Medicare Advantage Organization (MAO).</li>\n<li>Deep understanding of Medicare Advantage operations, strategy, and market dynamics.</li>\n<li>Strong P&amp;L management experience with a demonstrated focus on financial performance and growth.</li>\n<li>Knowledge of insurance regulatory, compliance, and contractual requirements.</li>\n<li>Experience with value-based and risk-based provider contracting models.</li>\n<li>Proven ability to build relationships and collaborate effectively with internal and external stakeholders across a matrixed organization.</li>\n<li>Strong strategic thinking, problem-solving, and facilitative leadership skills.</li>\n<li>Demonstrated success leading, developing, and coaching high-performing teams, including people leaders.</li>\n<li>Ability to influence, engage, and drive results through cross-functional partnerships and executive-level collaboration.</li>\n<li>Understanding of the Medicare Advantage competitive landscape and market trends.</li>\n<li>Must reside in the Southeast and be able to travel within the market as needed.</li>\n<li>Hybrid work arrangement requiring three days per week in the office and residence within 25 miles of an Aetna office location.</li>\n</ul>\n<p><strong>Education</strong></p>\n<ul>\n<li>Bachelor’s degree required in Business, Healthcare Administration, or a related field; equivalent relevant experience will also be considered.</li>\n</ul>\n<p><strong>Pay Range</strong></p>\n<ul>\n<li>The typical pay range for this role is: $157,800.00 - $363,936.00</li>\n</ul>\n<p style=\"margin-top:24px;font-size:13px;color:#666;\">Job Data by <a href=\"https://yubhub.co\">YubHub</a>.</p>","url":"https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/Field-GA/AVP--Chief-Medicare-Officer---Georgia-Gulf-States_R1038391","directApply":true,"hiringOrganization":{"@type":"Organization","name":"Aetna","sameAs":"https://cvshealth.com","logo":"https://logos.yubhub.co/cvshealth.com.png"},"x-apply-url":"https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/Field-GA/AVP--Chief-Medicare-Officer---Georgia-Gulf-States_R1038391","x-work-arrangement":"hybrid","x-experience-level":"senior","x-job-type":"full-time","x-salary-range":"$157,800.00 - $363,936.00","x-skills-required":["Medicare Advantage","P&L management","strategic leadership","compliance","risk-based provider 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As an Open Enrollment Coordinator, you will be responsible for proactively partnering with internal and external teams to deliver an unrivaled open enrollment experience for our retirees.</p>\n<p>Responsibilities:</p>\n<ul>\n<li>Manage the end-to-end Open Enrollment inventory and delivery process</li>\n<li>Track and report open enrollment fulfillment and kit activity</li>\n<li>Process fulfillment/enrollment kit orders</li>\n<li>Collaborate with teammates and business partners to drive process improvements and implement new ideas</li>\n<li>Partner with Account Team to set up virtual customer/member meetings using virtual meeting technology</li>\n</ul>\n<p>Requirements:</p>\n<ul>\n<li>5+ years of managing projects and initiatives</li>\n<li>7+ years of total business experience</li>\n<li>Experience with Excel, QuickBase, and other Microsoft Office tools/products</li>\n<li>Strong interpersonal, written, and verbal communication skills</li>\n<li>Problem-solver and independent thinker with a track record of meeting key business objectives</li>\n<li>Ability to work in a fast-paced environment during busy/peak volume periods</li>\n<li>Must be able to lift ~25 lbs</li>\n</ul>\n<p>Preferred Qualifications:</p>\n<ul>\n<li>Experienced in delivering outstanding customer service</li>\n<li>Excellent project management skills</li>\n<li>Experience managing open enrollment support processes</li>\n<li>Established track record of effectively managing multiple priorities during busy periods</li>\n<li>Advanced skills in MS Office</li>\n</ul>\n<p>Education:</p>\n<ul>\n<li>Associate&#39;s degree or equivalent experience</li>\n</ul>\n<p>Benefits:</p>\n<ul>\n<li>Medical, dental, and vision coverage</li>\n<li>Paid time off</li>\n<li>Retirement savings options</li>\n<li>Wellness programs and other resources</li>\n</ul>\n<p style=\"margin-top:24px;font-size:13px;color:#666;\">Job Data by <a href=\"https://yubhub.co\">YubHub</a>.</p>","url":"https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/CT---Hartford/Open-Enrollment-Coordinator-Hartford--CT_R1080941","directApply":true,"hiringOrganization":{"@type":"Organization","name":"Aetna","sameAs":"https://cvshealth.com","logo":"https://logos.yubhub.co/cvshealth.com.png"},"x-apply-url":"https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/CT---Hartford/Open-Enrollment-Coordinator-Hartford--CT_R1080941","x-work-arrangement":null,"x-experience-level":null,"x-job-type":"full-time","x-salary-range":"$21.10 - $44.99","x-skills-required":["Microsoft Office","Excel","QuickBase","project management","communication"],"x-skills-preferred":["customer service","open enrollment support processes"],"x-benefits":["pension","health_insurance","dental","paid_leave","bonus"],"x-licences":[],"x-visa-sponsorship":"unknown","x-visa-sponsorship-text":null,"x-work-authorisation":"unknown","x-work-authorisation-text":null,"datePosted":"2026-10-30T00:00:00.000Z","jobLocation":{"@type":"Place","address":{"@type":"PostalAddress","addressLocality":"Hartford, CT"}},"employmentType":"FULL_TIME","occupationalCategory":"Healthcare","industry":"Healthcare","skills":"Microsoft Office, Excel, QuickBase, project management, communication, customer service, open enrollment support processes"},{"@context":"https://schema.org","@type":"JobPosting","identifier":{"@type":"PropertyValue","name":"YubHub","value":"job_bf7f3ed9-200"},"title":"Executive Director, Clinical Strategy and Operations","description":"<p>Aetna is seeking an Executive Director, Clinical Strategy and Operations to integrate strategy, operational planning, governance, relationship management, and execution across Aetna Clinical Service&#39;s Strategic Operations &amp; 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This role partners with members and their families to address comprehensive health needs, facilitate access to appropriate resources, and promote quality, cost-effective outcomes.</p>\n<p><strong>Key Responsibilities</strong></p>\n<ul>\n<li>Serve as a liaison among members, families, providers, employers, health plans, community organizations, and other key stakeholders.</li>\n<li>Coordinate and manage care activities for members with complex, chronic, catastrophic, or acute health conditions across the continuum of care.</li>\n<li>Conduct comprehensive assessments to evaluate medical, functional, psychosocial, and environmental needs.</li>\n<li>Develop, implement, and monitor individualized care plans designed to improve health outcomes and support member wellness.</li>\n<li>Facilitate access to appropriate healthcare services, community resources, home health services, and alternative levels of care.</li>\n<li>Engage with members telephonically and through in-person visits in homes, provider offices, or community settings as needed.</li>\n<li>Collaborate with interdisciplinary care teams to ensure coordinated, evidence-based care.</li>\n<li>Communicate effectively with providers, members, caregivers, and other stakeholders regarding treatment plans, progress, and care needs.</li>\n<li>Educate members and families on disease management, prevention strategies, available benefits, and community resources.</li>\n<li>Conduct outreach to treating physicians, specialists, and other providers to support care coordination and treatment planning.</li>\n<li>Monitor member progress and adjust care plans as needed to achieve desired outcomes.</li>\n<li>Maintain accurate and timely documentation of case management activities in accordance with organizational, regulatory, and accreditation requirements.</li>\n<li>Ensure compliance with all applicable laws, regulations, policies, and case management standards.</li>\n<li>Promote optimal health outcomes, functional independence, and quality of life through proactive intervention and advocacy.</li>\n</ul>\n<p><strong>Required Qualifications</strong></p>\n<ul>\n<li>Must reside in Cook County and be able to service members in Cook County and surrounding areas.</li>\n<li>Active and unrestricted Registered Nurse (RN) license in the state of Illinois.</li>\n<li>Must possess reliable transportation and be willing and able to travel up to 50-75% of the time. 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The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.</p>\n<p style=\"margin-top:24px;font-size:13px;color:#666;\">Job Data by <a href=\"https://yubhub.co\">YubHub</a>.</p>","url":"https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/Field-Illinois/Registered-Nurse-Case-Manager---Field--Cook-County--IL-_R1083661","directApply":true,"hiringOrganization":{"@type":"Organization","name":"Aetna","sameAs":"https://cvshealth.com","logo":"https://logos.yubhub.co/cvshealth.com.png"},"x-apply-url":"https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/Field-Illinois/Registered-Nurse-Case-Manager---Field--Cook-County--IL-_R1083661","x-work-arrangement":"remote","x-experience-level":"senior","x-job-type":"full-time","x-salary-range":"$66,575.00 - $142,576.00","x-skills-required":["Registered Nurse (RN)","case management","care coordination","clinical nursing","critical thinking","problem-solving","communication","organizational","interpersonal skills"],"x-skills-preferred":["Certified Case Manager (CCM)","Medicare","Medicaid","dual-eligible populations","social determinants of health","community-based services"],"x-benefits":["pension","health_insurance","dental","paid_leave","bonus"],"x-licences":[],"x-visa-sponsorship":"unknown","x-visa-sponsorship-text":null,"x-work-authorisation":"unknown","x-work-authorisation-text":null,"datePosted":"2026-11-04T00:00:00.000Z","jobLocation":{"@type":"Place","address":{"@type":"PostalAddress","addressLocality":"Field, Illinois"}},"jobLocationType":"TELECOMMUTE","employmentType":"FULL_TIME","occupationalCategory":"Healthcare","industry":"Healthcare","skills":"Registered Nurse (RN), case management, care coordination, clinical nursing, critical thinking, problem-solving, communication, organizational, interpersonal skills, Certified Case Manager (CCM), Medicare, Medicaid, dual-eligible populations, social determinants of health, community-based services","baseSalary":{"@type":"MonetaryAmount","currency":"USD","value":{"@type":"QuantitativeValue","minValue":66575,"maxValue":142576,"unitText":"YEAR"}}},{"@context":"https://schema.org","@type":"JobPosting","identifier":{"@type":"PropertyValue","name":"YubHub","value":"job_09723dd9-034"},"title":"Onsite Nurse Liaison","description":"<p>We&#39;re building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.</p>\n<p>Join Aetna in a meaningful onsite role supporting the health and wellbeing of City of Orlando employees. As the Onsite Nurse Liaison, you will bring your clinical expertise, strong communication skills, and service-focused approach to help employees understand their health benefits, connect with appropriate programs and resources, and take practical next steps toward better health.</p>\n<p>This full-time, client-based position is primarily anchored at City Hall, 400 South Orange Avenue, Orlando, FL 32801, where the nurse’s office is located. The role is designed for someone who enjoys being present, visible, and accessible. In addition to time at City Hall, you will regularly visit City worksites to meet employees where they are, including early morning, daytime, and occasional later-day visits based on employee schedules and worksite needs.</p>\n<p><strong>Responsibilities</strong></p>\n<ul>\n<li>Build trusted, professional relationships with City of Orlando employees, HR Benefits contacts, Aetna partners, and wellness stakeholders by providing approachable and responsive onsite support.</li>\n<li>Provide one-on-one education and navigation support to help employees better understand their benefits, medical and pharmacy cost share, claims, prior authorization, preventive care, clinical programs, EAP, and other available resources.</li>\n<li>Use available data and population health insights to conduct thoughtful, proactive outreach related to high-risk scores, frequent or inappropriate emergency room utilization, catastrophic cases, diabetes support, preventive screenings, and other targeted wellness priorities.</li>\n<li>Visit City worksites to provide health education, blood pressure screenings, preventive screening reminders, and benefit navigation for employees who may not be able to visit City Hall during standard office hours.</li>\n<li>Primarily support City of Orlando employees, with occasional support for family members and rare support for retirees, as appropriate to the role and available programs.</li>\n<li>Connect employees to the right support at the right time through warm transfers and referrals to Aetna care management, social workers, nutritionists, behavioral health resources, clinical programs, community resources, and other appropriate channels.</li>\n<li>Support City wellness initiatives, including Wellness Wednesday communications, new hire orientations, monthly and quarterly touchpoints, health observance activities, and larger annual initiatives such as mammography, colorectal cancer screening, site-of-care education, and utilization-focused campaigns.</li>\n<li>Maintain timely documentation, follow-up, appointment support, and reporting activities to help keep outreach, onsite visits, and wellness program support organized and effective.</li>\n<li>Review utilization patterns, top clinical conditions, screening opportunities, and engagement trends to help shape practical recommendations for future wellness solutions and employee education strategies.</li>\n<li>Represent the Aetna and City of Orlando wellness partnership with professionalism, confidentiality, service orientation, and a commitment to a positive employee experience.</li>\n</ul>\n<p><strong>Required Qualifications</strong></p>\n<ul>\n<li>Registered Nurses with an active, unrestricted Florida RN license</li>\n<li>5-7 years relevant work experience</li>\n<li>3+ years of clinical practice experience as an RN</li>\n<li>Ability to work onsite Monday through Friday during core business hours, with flexibility for occasional early-morning worksite visits, extended-day support, and special events with advance notice.</li>\n<li>Ability and willingness to travel locally between City of Orlando worksites as part of the regular onsite schedule.</li>\n<li>Strong communication, relationship-building, organization, documentation, and follow-up skills.</li>\n<li>Comfort supporting employees in individual and group settings, including frontline teams, field-based employees, HR partners, internal stakeholders, and leaders.</li>\n<li>Experience in case management, care coordination, population health, employee or occupational health, or employer-based wellness, with the ability to educate employees on preventive care, chronic condition support, benefit navigation, and appropriate site-of-care decisions.</li>\n</ul>\n<p><strong>Benefits</strong></p>\n<ul>\n<li>Medical, dental, and vision coverage</li>\n<li>Paid time off</li>\n<li>Retirement savings options</li>\n<li>Wellness programs</li>\n<li>Other resources, based on eligibility</li>\n</ul>\n<p style=\"margin-top:24px;font-size:13px;color:#666;\">Job Data by <a href=\"https://yubhub.co\">YubHub</a>.</p>","url":"https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/FL---Orlando/Aetna-Onsite-Nurse-Liaison---City-of-Orlando---RN_R0979209","directApply":true,"hiringOrganization":{"@type":"Organization","name":"Aetna","sameAs":"https://cvshealth.com","logo":"https://logos.yubhub.co/cvshealth.com.png"},"x-apply-url":"https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/FL---Orlando/Aetna-Onsite-Nurse-Liaison---City-of-Orlando---RN_R0979209","x-work-arrangement":"onsite","x-experience-level":"senior","x-job-type":"full-time","x-salary-range":"$60,300.00 - 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