Aetna DSNP Senior Business Analyst / Project Manager in Blue Bell, Pennsylvania

Req ID: 56407BR

Opportunity is full time telework open across the US and not location specific

POSITION SUMMARY

The National DSNP Program Office supports DSNP growth, expansion and operations for all DSNPs. This position will be responsible for working with the National DSNP Care Management unit to develop operational, management, compliance and regulatory reports from the new MedCompass clinical platform. This position will act as the analytic lead for complex report writing projects that will involving working with multiple operational areas, and learning regulatory requirements in order to develop specification. This position is responsible for program reporting by understanding business requirements, program data sources and coding. Collaboration with Program Design, Operations, Operations Integrity, Compliance, Quality Management and Business Partners is a key function of this position. The position will support efforts to drive continuous improvement.

Fundamental Components:

To be successful in this assignment, the candidate must have demonstrated skills in documenting detailed business/reporting requirements, data gathering, interpretation, analysis and presentation. Expertise in PC SAS, SAS EG, SQL and Excel is required. Knowledge of Tableau is a plus. Understanding of care management program operations and CMS regulatory requirements related to Medicare Advantage, Special Needs Plans, and Part C data validation a plus. Attention to detail and delivering accurate requirements on time is essential. This position will support reporting for the new Clinical Platform, MedCompass. The candidate should have a strong passion for data integrity with an eye for detail, but also be in tune with the big picture. This individual should understand their audience and associated work processes to be able to effectively turn business requirements into meaningful information. Expectations are that this individual will have solid verbal and written communication skills to facilitate independent follow through on process questions, to influence problem resolution, and to recommend workflow enhancements.

BACKGROUND/EXPERIENCE desired:

(*) 4-6 years experience in healthcare with accountability for business results is preferred;

(*) Knowledge of managed care programs/initiatives;

(*) Intermediate SAS/SQL programming experience; report writing experience

(*) Technical proficiency using tools such as Tableau is a plus;

(*) Knowledge of Netezza and Hadoop is a plus;

(*) Experience building complex reports based on business defined specifications.

(*) Must be self-motivated, team oriented, and comfortable working with a team that is not co-located;

(*) Ability to manage conflicting priorities and multiple projects concurrently;

(*) Strong communication skills.

EDUCATION

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

FUNCTIONAL EXPERIENCES

Functional - Information Management/Data acquisition, data management, programming and documentation/4-6 Years

Functional - Information Management/Business information analysis/4-6 Years

Functional - General Management/Data analysis & interpretation/4-6 Years

Functional - Project Management/Issue identification and analysis/4-6 Years

TECHNOLOGY EXPERIENCES

Technical - Reporting Tools/SAS/4-6 Years/Power User

Technical - Aetna Applications/ATV Reporting/4-6 Years/Power User

Technical - Aetna Applications/Enterprise Data Warehouse/4-6 Years/Power User

REQUIRED SKILLS

General Business/Communicating for Impact/FOUNDATION

General Business/Turning Data into Information/ADVANCED

Leadership/Collaborating for Results/ADVANCED

DESIRED SKILLS

General Business/Demonstrating Business and Industry Acumen/ADVANCED

General Business/Applying Reasoned Judgment/ADVANCED

Technology/Leveraging Technology/MASTERY

Telework Specifications:

Considered for any US location; training period in the office may be required

ADDITIONAL JOB INFORMATION

Opportunity to be part of new initiative and to learn how new tools can effectively support care management

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 candidates'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: Information Technology

Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.