MSEJ September 2015 | Page 15

135102BR Director:

Network & Risk Adjustment

135115BR Yard Jockey

135114BR Bio Med Tech III

135113BR Warehouse Person Receiving

134963BR Engineer

135110BR:

Revenue Auditor

134938BR Speech Language Pathologist Therapist

134975BR Home Care Coordinator

134977BR Customer Service Representative III

134929BR Staff Accountant

Designs, develops, contracts, maintains, and enhances relationships with facilities, physicians, and ancillary providers that serve as contractual networks of care for members; fosters growth of managed care products; and enhances profitability of Aetna.Evaluates, implements, and monitors internal and external Risk Adjustment initiatives for both Medicare and commercial products throughout the market.

Responsible for ensuring compliance with regulations, internal control standards, and company policies. Performs daily auditing and clerical work in connection with the maintenance of financial records and the preparation of financial reports. Verifies and records revenue for gaming or non-gaming areas. Assembles, audits, and prepares various casino accounting reports. Checks work for unusual variances or discrepancies and informs immediate supervisor after thorough investigations.