Aetna Sr Informatics Manager - Medicare in Hartford, Connecticut

Req ID: 42974BR

POSITION SUMMARY

This position will be leading multiple Projects to improve Stars/ CAHPS rates. Stars team (Medicare) is initiating company wide initiatives to improve the pain point that customer go thru daily working with Aetna. This effort will be Industry leading effort and bring innovation in the market place.

Fundamental Components:

(*) Identify trends and gaps with existing systems and processes. Identify opportunities and proposing projects to improve systems, processes, and infrastructure focusing on improvement.

(*) Formulates department strategy and vision.

(*) Presents all results to IT leaders and Non-IT business partners.

(*) Proactively builds and maintains internal and external key relationships.

(*) Creates high level detailed work plans, establish goals and vision for offshore vendors to code/ deliver the product

(*) Performs advanced SQL programming in the data warehouse environment including the use of different analysis techniques or business intelligence application development tools

(*) Independently digs and identifies the root cause of problems in Data, Back-end tables, Databases, SQL codes, Programs and the describes the nature of technical issue and recommends solutions.

BACKGROUND/EXPERIENCE desired:

-- 10 or more years of healthcare, health insurance or industry analytic experience

-- Extensive knowledge and experience with Stars/ HEDIS/ CAHPS is required

-- SQL Experience, or DB2 or SQL Server is required

-- Exposure to Appeals/ CTM/ Grievance processes and how it impacts Stars

-- Power user in one of the skill sets - .Net/Web, Tableau or SQL/ SAS (Mobile experience is a plus)

-- Proactive Leadership

-- Ability to communicate statistical and technical ideas and results to non-technical clients in written and verbal form

EDUCATION

--Master's degree in relevant field with healthcare analytic experience or;

--Bachelor's degree in Statistics, Economics, Mathematics, Computer Science or related field with extensive healthcare analytic experience.

FUNCTIONAL EXPERIENCES

Functional - Leadership/Lead significant enterprise-wide initiative/4-6 Years

Functional - Management/Management - Process and quality improvement/4-6 Years

Functional - Management/Management - Product development/4-6 Years

Functional - Information Management/Data acquisition, data management, programming and documentation/7-10 Years

TECHNOLOGY EXPERIENCES

Technical - Database/SQL Server/4-6 Years/Power User

Technical - Development Languages/SQL/7-10 Years/Power User

REQUIRED SKILLS

Leadership/Driving a Culture of Compliance/FOUNDATION

Leadership/Fostering a Global Perspective/FOUNDATION

ADDITIONAL JOB INFORMATION

This position will be leading the Industry Leading effort and creates visibility to the leadership. Plus, Stars is a revenue generating team.

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Job Function: Health Care