Aetna Lead Clinical Business Consultant in Cincinnati, Ohio

Req ID: 57082BR


The Lead Clinical Business Consultant manages and drives program, market, and customer-wide efforts to analyze business trends (positive and negative)

Spearheads root cause analysis of variances across the spectrum

Facilitates and oversees initiative planning, business results and ongoing relationship management and satisfaction for initiatives impacting the delivery of products and services to the internal and external environment.

Accountable for providing the infrastructure (standards, methodology, and governance) for continuous quality improvement.

Champions change and instills a culture of accountability

Supports Directors in managing day-to-day operations

May be responsible for concurrent initiatives as team lead and/or team member, based on resource requirements.

Fundamental Components:

  • Drives or guides development of holistic solutions and/or key strategic plans.

  • Proactively identifies opportunities for improvement and independently influences business leader(s) including the most senior level, to act or change behavior through complex negotiations and/or expert consultation that promotes issue resolution.

  • Communicates compelling and concise results to empower business owner in decision making process regarding project opportunities.

  • Builds optimal influential relationships for results and deliverables and manages relationship throughout engagement.

  • Fully integrates baseline and metrics tracking into initiative planning and execution for optimal results.

  • Shares joint accountability for initiatives return on investment.

  • Provides management guidance and oversight in the utilization of reports and tools.

  • Provides continuous coaching, direction, feedback and development for other consultants, matrixed staff and/or external vendors as required.

  • Assignment may require formal supervisory role.

  • Drives or guides engagement using a disciplined repeatable methodology. Provides oversight to or drives initiative planning as required. Designs, develops interventions and facilitates work sessions.

  • Develops and delivers all required analysis, reporting and presentation materials.

  • Facilitates 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


  • 10+ years experience with several of the following methods: management consulting, project consulting, business process consulting, financial strategic analysis, mergers and acquisitions, strategic business planning, and/or risk management consulting.

  • Able to analyzes clinical data for trend analysis , results management and best practices.

  • Knowledge of Utilization Management, Case Management is strongly preferred

  • Demonstrated experience successfully implementing change in complex organizations.

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

  • Demonstrated leadership with relevant initiatives: Business process, business project management/consulting, strategic planning and analysis, 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.


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


Nursing/Registered Nurse (RN) current license for any state is required


  • Project Management/Time Management/4-6 Years

  • Communications//Business Acumen/ 4-6 Years


  • Desktop Tools/Microsoft PowerPoint/4-6 Years/End User

    • Desktop Tools/Microsoft Excel/4-6 Years/End User

-Desktop Tools/Microsoft Visio/4-6 Years/End User


General Business/Communicating for Impact/MASTERY

General Business/Consulting for Solutions/MASTERY

Leadership/Collaborating for Results/MASTERY


Leadership/Driving Change/MASTERY

General Business/Applying Reasoned Judgment/MASTERY

Telework Specifications:

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


  • Travel is up to 10% nationwide

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.