Aetna Health Service Manager in New York, New York
Req ID: 39145BR
POSITION SUMMARY - Candidates must be able to work in an Aetna office, preferably in the New York or Hartford office.The Health Service Manager is responsible for the design, development and implementation of a superior member experience for our Case Management portfolio. The primary focus of this position is Program Design and Product Management for various Case Management programs and products, such as the 24 Hour Nurseline and Compassionate Care. This position will also provide support and consultation for other Case Management programs and products, based on business needs. The ability to juggle multiple projects in a fast-paced environment is required. Active Advice experience is preferred.
FUNDAMENTAL COMPONENTS: We are currently looking for a self-starter to join our high-performing team. This is a tremendous opportunity to showcase your talent and ability while working with highly-visible Case Management programs and products. The ideal candidate will be an RN with strong business and healthcare industry acumen. A deep understanding of the organization s strategy and current healthcare industry trends is critical. This person must be comfortable leading and managing all aspects of large-scale, enterprise-wide projects. You should possess excellent communication skills while being comfortable presenting to all levels of the organization, including Executive Leadership. If you are ready to hit the ground running, please join us in making history.The position will work collaboratively with Operations on establishing highly-efficient and member-focused workflows and integration of processes cross-program, as appropriate. The position functions as a subject matter expert for other areas of the organization including but not limited to Accountable Care Solutions, Customer Service, Quality, Learning & Performance, Reporting, Pharmacy, Behavioral Health, Member Experience as well as across all other Care Management Programs. The Health Service Manager is responsible for recognizing integration gaps and opportunities cross-organization and cross-program, and then proactively taking steps to address those gaps to further enhance the Case Management clinical and technology experience for our members. The position takes an active role in analyzing program results and suggesting program enhancements for continuous process improvement. The role will: - Operationalize strategy in conjunction with Operations- Design and build Case Management programs/products to optimize the member experience, including development of omni-channel engagement strategies and optimal channel mix (text, chat, face-to-face, etc.)- Design and develop programs/products in accordance with regulatory and accreditation requirements - Design, develop and implement business and system process workflows - Prioritize and lead multiple projects in a fast-paced environment - Collaborate with marketing and sales support - Analyze performance data and utilize to initiate/implement changes in collaboration with Operations - Participate with a strong sense of teamwork across departments to share best practices and realize program opportunities/synergies - Manage business relations with IT and Clinical System Design
BACKGROUND/EXPERIENCE DESIRED:- 10+ years of increasingly responsible experience in healthcare with demonstrated ability to design and implement Case Management programs/products- Current RN license with3-5 years in a clinical setting - Excellent presentation skills - Bias towards execution- Strong project management skills; proven record of leading project teams to goals - Strong problem solving and critical thinking skills.
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
LICENSES AND CERTIFICATIONS:
Nursing/Registered Nurse is required
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This is an in office role for New York or Hartford.
ADDITIONAL JOB INFORMATIONThe Health Service Manager role is critically important to the success of our Case Management portfolio. This person is responsible for developing, documenting and sharing efficient and effective processes. The Health Service Manager is also a subject matter expert on multiple ongoing projects. Ultimately, this person is responsible for helping design a superior member experience. The ideal candidate has a significant history of successful project/product management, creative thinking and superior process management related to continuous process improvement. Additionally, this person will have a strong background in enhancing the customer experience. The ideal candidate will have knowledge of Active Health Management s clinical management systems (Active Advice, Active Care Team Suite). Microsoft Excel experience is required. This is a highly-visible role, collaborating with Senior Leadership. This person will be viewed as a strategic partner in shaping the future of healthcare.
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.
We are inspired to make a difference, and we are committed to integrity and excellence.
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 hereto review the benefits associated with this position.
Job Function: Health Care