Aetna Informatics Consultant/Lead in Phoenix, Arizona

Req ID: 39133BR


The dedication of talented and caring healthcare professionals drives the delivery of high quality, cost effective products and services. They make it possible for members to get the right healthcare treatment for their needs and for Aetna to keep its competitive edge.

This position is located in our Phoenix office. We will consider telework arrangements from any US location for the right candidate. In any event, the successful candidate must be adept at working on a virtual team with persons in multiple locations.

Fundamental Components:

The Informatics team within Aetnas Medicaid Business Unit (MBU) creates customer value by expanding the range of actionable information delivered to our constituents. We handle complex data, thorny questions, and short timeframes. Our results provide the information necessary to make intelligent decisions. We work to improve the health status of Americas low income population who are enrolled in Medicaid and Medicare (duals). The individual in this position will be expected to execute complex data queries, integrate and manipulate healthcare data from multiple sources, and apply appropriate research and statistical methods to assess health and economic outcomes, including utilization measures, quality and cost data.


Collaborates with internal and external partners and organizations to understand data needs; designs and implements analytic studies to address business questions and concerns, and develops strategically important enterprise-wide reporting Uses SQL and SAS to query, analyze and interpret enrollment, claims, pharmacy, and other related healthcare data, and prepares findings for presentation to internal and external audiences Critically reviews and revises existing processes and applications for updates to methodologies and program enhancements Identifies data, systems and operations problems and recommends solutions and changes to streamline procedures for more effective reporting Performs quality assurance to evaluate data quality and integrity Stays informed about risk adjustment models, State methodologies, and CMS risk adjustment payment rules, regulations and guidelines as it relates to manage care organizations Manages projects and customer expectations to achieve constituent satisfaction Contributes to a motivated work environment by working effectively to achieve common goals


Five or more years of relevant experience working in a data warehouse environment, with large data sets from multiple data sources Strong SQL and SAS programming skills. Strong reporting skills using Tableau, Excel and other reporting tools Strong problem solving skills and critical thinking ability Experience working with various risk adjustment models is preferred


The minimum level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.


Functional - Information Management/Informatics/4+ Years

Functional - Information Management/Data acquisition, data management, programming and documentation/4+ Years

Functional - Information Management/Provides very complex programming and analytical support for medical cost trend analysis and strategic planning/4+ Years


Technical - Database/Microsoft SQL Server/4+ Years/Power User


General Business/Applying Reasoned Judgment/FOUNDATION

General Business/Maximizing Work Practices/FOUNDATION

General Business/Consulting for Solutions/FOUNDATION


General Business/Turning Data into Information/ADVANCED

Leadership/Collaborating for Results/FOUNDATION

Technology/Leveraging Technology/ADVANCED

Telework Specifications:

This position is located in our Phoenix office. We will consider telework arrangements from any US location for the right candidate. In any event, the successful candidate must be adept at working on a virtual team with persons in multiple locations.


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