Aetna Sr Medical Economics Consultant 55203BR in Chicago, Illinois

Req ID: 55203BR

POSITION SUMMARY

Manages, leads, or participates on complex medical economic projects (e.g., Medical Cost Savings Initiatives). Project Management accountabilities include project oversight including initiation, identification and completion of key deliverables to ensure all business objectives are met. Responsible for the development and implementation of key medical economics business efforts e.g. medical cost initiatives, policies/programs and analytical models. Accountable for all financial projections associated with project.

Fundamental Components:

*Serves as project manager and/or participant on selected project(s).

*Develops critical and complex information in support of strategic business plans to meet projected requirements of business area.

*Provides very complex programming and analytical support for medical cost trend analysis and strategic planning (such as verifying trends developed by Actuarial team and developing new tools for the regions to analyze medical costs).

*Works cross-functionally throughout the region toward achieving operational targets.

*Presents highly complex information in a way that multiple levels within an organization can understand and utilize to make appropriate decisions to meet business objectives.

*Assists in development/mentoring of less experienced team members. May assist in providing direction of day to day activities.

BACKGROUND/EXPERIENCE desired:

*5-8 years demonstrated leadership and project management experience.

*Ability to manage conflicting priorities and multiple projects concurrently.

*Strong analytical ability and familiarity with advanced financial and healthcare concepts.

*Advanced software and programming skills will be required in different MEU departments

EDUCATION

Bachelor's degree or equivalent experience.

LICENSES AND CERTIFICATIONS

Finance/ is desired

Managed Care/ is desired

Project Management/ is desired

FUNCTIONAL EXPERIENCES

Functional - Finance/Financial reporting and analysis/1-3 Years

Functional - Project Management/Cross-functional project management/1-3 Years

TECHNOLOGY EXPERIENCES

Technical - Database/SQL Server/1-3 Years/Power User

Technical - Desktop Tools/TE Microsoft Excel/1-3 Years/Power User

REQUIRED SKILLS

General Business/Applying Reasoned Judgment/MASTERY

General Business/Demonstrating Business and Industry Acumen/ADVANCED

General Business/Turning Data into Information/MASTERY

#LI-EG1

DESIRED SKILLS

Finance/Profit and Quality Vigilance/MASTERY

Service/Working Across Boundaries/ADVANCED

ADDITIONAL JOB INFORMATION

This role is integral across all facets of the plan in assisting leadership in making appropriate and informed decisions. The incumbent will work very closely with plan leadership and key stakeholders at the state.

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: Health Care

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.