Aetna Sr Medical Economics Consultant 55203BR in Chicago, Illinois
Req ID: 55203BR
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.
*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.
*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
Bachelor's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Finance/ is desired
Managed Care/ is desired
Project Management/ is desired
Functional - Finance/Financial reporting and analysis/1-3 Years
Functional - Project Management/Cross-functional project management/1-3 Years
Technical - Database/SQL Server/1-3 Years/Power User
Technical - Desktop Tools/TE Microsoft Excel/1-3 Years/Power User
General Business/Applying Reasoned Judgment/MASTERY
General Business/Demonstrating Business and Industry Acumen/ADVANCED
General Business/Turning Data into Information/MASTERY
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.
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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.