Aetna Lead Business Consultant in New York, New York
Req ID: 44061BR
Designs conceptual models to approach complex business problems whose impact often results in significant degree of change to the organization. Accountable for contracting, initiative planning, business results and ongoing client relationship management and satisfaction for large scale, high value initiatives impacting the delivery of products and services to the internal and external environment (See Family Summary). Responsible for providing oversight and supervision to external vendors, external consultants, consulting team members and/or matrixed staff as required in support of initiatives. Accountable for transferring knowledge, best practices (external and internal), methodology and tools to client organizations. May be responsible for concurrent initiatives as team lead and/or team member, based on resource requirements.
Maintain the existing Oncology Medical Home (OMH) programs and implementing new OMH programs, which include includes facilitating monthly meetings with physicians and local network market leads, completing contract/amendment updates, ensuring monthly payments are processed to physician groups and overseeing the annual reconciliation per the terms of the contract. Work with Medical Economics areas to validate ROI analysis and areas for program performance and improvement and coordinate with Finance on setting budget and reserves to support ongoing gain share payments for annual reconciliations. Expand the use of data to increase the scope of existing oncology programs, including incorporating new quality metrics, use of palliative care and increased use of hospice.
Ideal candidate would possess significant experience in managed care, contract negotiations, SCM & relationship management and proven strengths in analysis, strategic business planning and problem solving.
Communicates compelling and concise results to empower business owner in decision making process regarding project opportunities (*)
Conducts thorough business case and external customer value analysis to determine selection, prioritization positioning and approach for broadest range of potential solutions (e.g., outsourcing, process improvements, technology solutions) (*)
Drives client contracting process, builds optimal influential client relationship for results and deliverables and manages relationship throughout engagement (*)
Fully integrates baseline and metrics tracking into initiative planning and execution for optimal results. Shares joint accountability for initiatives return on investment (*)
Provides management guidance and oversight in the selection and use of long term external consulting engagements (*)
Provides continuous coaching, direction, feedback and development for other consultants, matrixed staff and/or external vendors as required. Assignment may require formal supervisory role (*)
Drives or guides engagement using a disciplined repeatable methodology. Provides oversight to or drives initiative planning as required. Designs, develops interventions and facilitates work sessions. Develops and delivers all 1
required analysis, reporting and presentation materials (*)
Gathers, analyzes and synthesizes competitive intelligence to drive achievement of strategic business objectives (*)
Facilitates diverse internal and external net
5+ years experience with several of the following methodologies: management consulting, project consulting, business process consulting, financial strategic analysis, mergers and acquisitions, strategic business planning, and/or risk management consulting.
Emphasis on first paragraph of fundamental components
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Project Management/Certified Associate in Project Management (CAPM) is desired
Functional - Project Management/Project Manager/4-6 Years
Functional - Project Management/Cross-functional project management/4-6 Years
Functional - Project Management/Cost Management/4-6 Years
Functional - Project Management/Plan management/4-6 Years
Functional - Project Management/Project Leader/4-6 Years
Technical - Desktop Tools/Microsoft PowerPoint/4-6 Years/Administrator
Technical - Desktop Tools/Microsoft Explorer/4-6 Years/Administrator
Technical - Desktop Tools/Microsoft Outlook/4-6 Years/Administrator
General Business/Applying Reasoned Judgment/MASTERY
General Business/Communicating for Impact/MASTERY
Leadership/Developing and Executing Strategy/MASTERY
ADDITIONAL JOB INFORMATION
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: Management