Is it hard to get a job at Aetna?
Getting a job at Aetna (a CVS Health company) is moderately difficult overall, though it varies significantly depending on the department, your experience level, and the specific role.
Difficulty by Role Type
- Entry-Level & Claims / Customer Service Roles: These positions (such as customer service representatives or claims processors) have a more straightforward hiring process and lower baseline educational requirements (high school diploma or GED), though they receive high application volumes and feature strict performance metrics.
- Specialized & Corporate Roles: Specialized positions—such as underwriters, IT/Java developers, registered nurse case managers, or data analysts—are much more competitive. According to Glassdoor Interview Experiences, interview difficulty averages 2.73 out of 5, with technical and specialized coordinator or developer roles rated as the hardest.
The Hiring Process & Requirements
- Timeline: The average hiring process takes about 27 days from application to offer.
- Minimum Qualifications: Most corporate or clinical positions require a Bachelor's degree and 3 to 5 years of relevant healthcare, customer service, or industry experience.
- Screening: Aetna (under CVS Health) typically requires standard pre-employment background checks and drug screenings.
- Work Environment: Many front-line or remote roles involve tight performance tracking, high call volumes, and managing multiple internal software systems simultaneously.
You can browse current openings directly through the Aetna Careers Portal.
Does Aetna pay well?
Aetna pays competitively for specialized and technical roles, but entry-level and operational staff often find compensation lagging behind the rising cost of living.
📊 Average Compensation Overview
- Overall average salary sits around $62,000 to $79,000 per year.
- Employee satisfaction ratings for pay average 3.3 to 3.6 out of 5 on major review platforms.
- Benefits like healthcare and 401(k) matches generally receive higher marks than base pay.
⚖️ Salary Breakdown by Role
| Job Category | Hourly / Annual Range | Average Earnings |
|---|---|---|
| 📞 Customer Service / Health Concierge | $17.50 – $26.00 / hr | ~$39,000 / yr |
| 👩⚕️ Nurse Case Manager | $40 – $48 / hr | ~$78,000 / yr |
| 💻 Data Scientist / Engineer | $55 – $93 / hr | ~$125,000 – $180,000 / yr |
| 📈 Business / Project Manager | $42 – $62 / hr | ~$98,000 / yr |
💡 What to Consider
- Entry-Level Lag: Lower-tier roles like customer service or claims processing offer stable benefits, but modest annual raises.
- Specialized Premiums: Tech, actuarial, and clinical management roles track well with general insurance industry medians.
- Total Rewards: Remote flexibility and Aetna Employee Benefits help offset lower base marks reported in operational units.
Why is Aetna struggling?
Aetna and its parent company, CVS Health, are facing profitability challenges driven by rising medical costs, underperforming exchange products, and regulatory pressures.
Key Reasons for Aetna's Struggles
- ACA Exchange Underperformance: Aetna announced it will exit the Affordable Care Act (ACA) individual and family marketplace at the end of 2025. CEO David Joyner noted chronic underperformance and a lack of a clear path to profitability in these products, which resulted in a massive operating loss of $924 million in 2024.
- Uncertainty Over Subsidies: The potential expiration of enhanced federal tax credit subsidies by Congress creates added financial instability and premium uncertainty for individual marketplace plans.
- Medicare Advantage Cutbacks: Aetna is slashing nearly 90 Medicare Advantage plans across 34 states for 2026, dropping certain PPO and dental network options. This reflects broader industry pain points like higher healthcare utilization costs by seniors and stricter Centers for Medicare & Medicaid Services (CMS) regulations on star ratings and billing.
- Regulatory and Legal Scrutiny: The insurer faces potential costs and pressures from ongoing Department of Justice (DOJ) lawsuits concerning Medicare Advantage business and enrollment practices.
Is Aetna a good place to work?
Aetna (a CVS Health company) has a mixed reputation as an employer, averaging around 3.4 to 3.6 out of 5 stars across major employee review platforms like Indeed and Glassdoor.
Whether it is a good place to work largely depends on your department, your specific team management, and your tolerance for a heavily structured corporate environment.
The Pros
- Strong Benefits: Employees consistently praise the comprehensive health, dental, and vision insurance, 401(k) matching, and generous paid time off (PTO).
- Remote Work Flexibility: Many positions offer robust work-from-home options and schedule flexibility.
- Stability and Purpose: As part of CVS Health, it offers a stable corporate environment with a clear sense of mission in healthcare.
- Learning Opportunities: It provides solid initial training and valuable resume-building experience in navigating complex healthcare systems.
The Cons
- High Stress and Micromanagement: Customer service and call-center roles (like Health Concierge) report intense back-to-back call volumes, strict metric tracking, and constant monitoring.
- Underwhelming Pay: Many workers feel compensation and raises do not keep pace with expanding job duties and heavy workloads.
- Limited Growth: Employees frequently cite a lack of clear upward mobility or internal promotion opportunities.
- Management Inconsistency: Experiences depend heavily on direct supervisors; some teams are supportive, while others suffer from poor communication and high turnover.
What is the typical interview process for Aetna positions?
The typical interview process for Aetna (a CVS Health company) takes about two to four weeks and follows a structured, multi-stage corporate hiring format.
1. Online Application and Assessment
- Application: You submit your resume and profile through the online Aetna Careers portal or job boards.
- Digital Assessment: Many roles require an initial online assessment or a pre-recorded video interview (such as HireVue) to test basic problem-solving, behavioral traits, or job-specific knowledge.
2. Recruiter Phone Screen
- Initial Contact: A recruiter reaches out for a brief phone conversation (usually 10 to 15 minutes).
- Review: They verify your work history, salary expectations, basic qualifications, and interest in the company.
3. Hiring Manager Interview
- Format: A deeper video call (45 to 60 minutes) via platforms like Microsoft Teams or Zoom with the department manager.
- Discussion: The conversation covers your resume details, work gaps, specific job expectations, and training style.
- Questions: Expect a heavy focus on behavioral and situational questions (e.g., handling difficult customers, managing compliance, or multitasking under pressure).
4. Final Stages and Offer
- Panel/Second Interview: Some roles (especially analytical or senior positions) may involve a second round or a panel interview with team members or senior management.
- Background Check: If selected, the process concludes with standard reference checks, drug screenings, and background checks before a formal offer is extended.
How I'd become a data analyst (if i had to start over) in 2026
Is Aetna laying off employees?
Yes, CVS Health has been laying off employees at Aetna as part of ongoing corporate restructuring and cost-cutting initiatives.
Recent Layoff Details
- Spring/Summer 2026 Cuts: CVS Health announced it is permanently cutting 313 remote positions reporting to the Aetna headquarters in Hartford, Connecticut. These layoffs are scheduled to take place between April 3 and July 31, 2026.
- Reason for Cuts: The 2026 reductions are tied to operational changes in Aetna's Small Group business segment.
- Impacted Roles: Affected roles span across sales, underwriting, account management, and plan operations.
- Support Provided: Impacted workers are receiving severance pay, benefits, and access to outplacement services.
Background
These cuts follow multiple prior rounds of layoffs spanning late 2024 and 2025, which were driven by rising medical costs in Aetna's Medicare Advantage business, contract losses (such as an Ohio Medicaid contract), and broader enterprise cost-cutting goals by parent company CVS Health.
What is the downside of Aetna?
The primary downsides of Aetna health insurance include high customer service complaints, above-average out-of-pocket maximum limits, and a complete exit from the individual Affordable Care Act (ACA) marketplace.
⚠️ Common Disadvantages of Aetna
- Customer Service Hurdles:
- Long hold times
- Unhelpful or uncoordinated representatives
- Delayed claims processing
- High Out-of-Pocket Costs:
- Higher maximum out-of-pocket (MOOP) limits compared to some competitors
- Higher average monthly premiums on certain individual or family products
- Stricter Prior Authorizations:
- Higher-than-average denial rates for certain Medicare Advantage prior authorization requests
- Reduced Marketplace Availability:
- No longer offers individual or family ACA-compliant marketplace plans (withdrawn as of 2026), shifting focus strictly to employer, group, and Medicare markets.
Which states is Aetna leaving?
Aetna is reducing its footprint by dropping nearly 90 Medicare Advantage plans across 34 states and exiting the Affordable Care Act (ACA) Marketplace entirely across 17 states.
ACA Marketplace Exits
Aetna stopped offering individual and family plans on the ACA Health Insurance Marketplace at the end of 2025 across 17 states, affecting about one million enrollees. Full individual market exits include:
- Arizona
- California
- Delaware
- Florida
- Georgia
- Illinois
- Indiana
- Kansas
- Kentucky
- Maryland
- Missouri
- Nevada
- New Jersey
- North Carolina
- Ohio
- Texas
- Utah
- Virginia
Medicare Advantage Reductions
Aetna is cutting specific plans (mostly PPOs) and reducing county-level availability across 34 states for the 2026 plan year, continuing a strategy into 2027 of shedding hundreds of thousands of enrollees nationwide.
- Specific county-level pullbacks include New Hampshire (Belknap, Carroll, Cheshire, Grafton, Merrimack, Strafford, and Sullivan counties) and widespread plan discontinuations in states like Pennsylvania, Florida, Texas, and Georgia.
Who is better, UnitedHealthcare or Aetna?
Neither UnitedHealthcare is universally better than Aetna; the right choice depends on your specific needs, location, and whether you want a larger provider network or better quality ratings.
Network and Coverage
- UnitedHealthcare: Offers a massive national footprint with a large provider network available across all 50 states. It often stands out for robust individual and health savings account (HSA) options.
- Aetna: Owned by CVS Health, it provides near-nationwide coverage and frequently scores higher on government quality ratings, particularly for Medicare Advantage plans.
Costs and Perks
- UnitedHealthcare: Tends to feature lower maximum out-of-pocket spending caps on certain Medicare plans, though general plans can sometimes carry higher price points.
- Aetna: Frequently features a higher percentage of $0-premium plans and integrates well with CVS pharmacy benefits (CVS Caremark).
Customer Satisfaction
- Both major insurers often score around the industry average or slightly below on independent customer satisfaction surveys, meaning experiences can vary significantly depending on your local market.
Is Cigna or Aetna bigger?
Aetna is generally larger than Cigna in terms of national market share and total health plan membership within the United States.
Market Share and Membership
- Aetna: Owned by CVS Health, Aetna holds around 11% to 12% of the national health insurance market share and serves over 36 million medical members.
- Cigna: The The Cigna Group holds a smaller national market share (roughly 2% to 11% depending on how commercial vs. broader pharmacy/health service segments are measured), with Cigna Healthcare covering around 20 million core medical members domestically, though its Evernorth subsidiary handles vast pharmacy services.
Revenue and Scale
- CVS Health (Aetna): Produces over $121 billion in managed care and health insurance premium income as part of a massive retail and pharmacy health care conglomerate.
- The Cigna Group: Generates higher overall gross corporate revenue (approaching $200 billion) largely due to its massive pharmacy benefit manager segment, Evernorth (including Express Scripts), but specific domestic medical health plan membership and traditional insurance footprint for Aetna remain larger.