Aetna Engagement Manager - Provider Collaboration in Pittsburgh, Pennsylvania
Req ID: 42041BR
Improve local healthcare by driving and supporting the transformation of how primary care physicians manage Aetna Medicare patients.
Manages value-based relationships with multiple provider groups on a day to day basis in addition to related projects in an external facing role. Sets strategic direction for complex projects and or programs (e.g., regional in scope which may impact one or all segments with high financial implications ) and drives performance improvement. Has full accountability for all aspects of projects and/or programs established to enhance and support provider arrangements.
Sets the direction of the strategic business plan and translates into vision ensuring alignment with Local and National goals. As a business leader, influences all stake holders to support key projects/programs to ensure positive outcomes that deliver on results. Drives change in order to improve performance results, organization effectiveness and/or systems/quality/services (e.g., policies, processes or systems). Identifies gaps in processes or organization and challenges self and others to develop and implement solutions. Directs accountability for impact to SG&A - Ensures accurate prioritization of key projects/programs within purview. Has ultimate accountability for project management services being delivered including reconciliation of financial commitments and expectations as well as modeling financial implications.
Manage HVN/neighborhood network relationships including interacting with internal and external partner leaders. Management of CMS innovation projects such as CPC+ including managing the multi-payer participants, vendors, conveners and data aggregators.
10+ years managed care / health insurance industry experience.
Multiple years proven leadership experience setting strategic direction and influencing change that resulted in quantifiable positive outcomes.
Proven track record managing complex projects and or programs that resulted in cost savings.
Experience managing large budgets.
Project management experience.
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Functional - Finance/Financial reporting and analysis/1-3 Years
Finance/Creating Profitable Partnerships/MASTERY
ADDITIONAL JOB INFORMATION
Dynamic, external-facing, highly visible role in one of Aetna's fastest growing segment in a top local market.
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