Aetna Healthcare Operations Consultant in Chicago, Illinois

Req ID: 54469BR


Business Consultant is needed to support the operations & analysis needs for Great Lakes Medicare Advantage. This role will hold responsibility for operational duties to ensure CMS readiness and data analysis to enable market-facing Medicare leadership towards more informed decision making.

Fundamental Components:

Supports holistic solutions and/or key strategic initiatives. Proactively identifies opportunities for improvement within assigned initiatives

Conducts thorough business case and external customer value analysis to determine selection, prioritization positioning and approach for broadest range of potential solutions

Participates in engaging internal partners towards resolution of business needs

Participates and supports metrics integration and execution for optimal results. Shares joint accountability for initiatives return on investment

Communicates compelling and concise results to empower decision making process regarding project opportunities

Participates in initiative planning as required. Supports engagement using a disciplined repeatable methodology

Develops and delivers all required analysis, reporting and presentation materials

Gathers, analyzes and synthesizes business intelligence to drive achievement of strategic business objectives

Builds and utilizes diverse internal and external networks, as appropriate, for data gathering and best practice identification. Leverages internal and external networking to drive optimal initiative results and knowledge/best practice transfer


3+ years Medicare Advantage or health plan experience preferred, emphasizing one or more 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.

Knowledge of annual CMS deliverables (ANOC/EOB/EOC) preferred.

Experience with moderate scale initiatives with moderate degree of complexity.

Demonstrated superior business process, project management and organizational redesign experience.

Demonstrated experience successfully implementing change in complex organizations.

Demonstrated leadership with relevant initiatives: Business process, enterprise business project management/consulting, financial strategic planning and analysis, mergers and acquisitions, strategic planning, risk management.

Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously.


Bachelor's degree or equivalent experience.


Functional - Planning/Business - organization level/1-3 Years

Functional - Finance/Financial analysis - P&L support/1-3 Years


Technical - Desktop Tools/Microsoft PowerPoint/1-3 Years/Power User

Technical - Desktop Tools/TE Microsoft Excel/4-6 Years/Power User


General Business/Consulting for Solutions/ADVANCED

General Business/Demonstrating Business and Industry Acumen/ADVANCED


Technology/Justifying the Business Case/ADVANCED


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: Management

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.