Aetna Value Based Solutions Regional Manager (50130BR) in Columbus, Ohio
Req ID: 50130BR
The Regional VBS Manager is responsible for managing all aspects of the VBS program in their respective markets, ensuring the goals of Health Plan and National VBS initiatives as stated in the MCO contract or otherwise are met or exceeded. This resource will serve as the main point of contact for VBS working collaboratively with Health Plan and Shared Services stakeholders. This role will be responsible for facilitating in person VBS provider program meetings which support continuous improvement and garner support from quality, provider relations, population health and network in achieving and surpassing VBS program goals. This individual will facilitate VBS education to internal and external stakeholders regarding the plans VBS programs, program advocacy, and continuous improvement feedback. This role will be responsible for monitoring and communicating provider performance and engaging appropriate stakeholders for problem resolution. They will represent their Health Plans year to date performance to inform VBS strategy in each market. The Regional VBS Program Director is responsible for managing all aspects of the VBS program in their respective markets, ensuring the goals of Health Plan and National VBS initiatives.
THIS POSITION IS 100% REMOTE AND NOT BASED IN AN OFFICE. YOU MUST RESIDE IN THE Midwest TO BE CONSIDERED SINCE YOUR TERRITORY WILL BE IN THE Midwest REGION.
Promote a clear vision aligned with company values and direction, motivates others to integrate VBS as a business construct. Challenges self and others to look to the implement and operationalize VBS programs that drive to optimal care for all members. Actively participate and serve as the Subject Matter Advisor in deploying, managing, and providing oversight to the Health Plans VBS programs. Ensure VBS goals are being met and that provider partners are being supported. Drive the development of work plan, promote the utilization of tools and reports to achieve desired program goals and outcomes. Collaborate and partner with Health Plan leaders to monitor, and/or implement operational processes to optimize VBS program outcomes including enhanced member and provider experience. Align plan policies and procedures with Aetna Medicaid National VBS program descriptions and policy templates. Lead regular meetings with the plan stakeholders and provider partners to ensure understanding of VBS program and goals. Facilitate and participate in presentations and consultations to key internal and external stakeholders. Provide VBS program improvement feedback to the National VBS team. Model emotional intelligence and serve as a role model to staff.
Value Based Managed Care Program experience including managed care contracting Project management experience or solid foundation in project management principles Proven competency in managing and driving programs to completion Strong organizational skills Collaborative approach and team builder Management and leadership experience Strong written and verbal communication skills.
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Technical - Desktop Tools/Microsoft Outlook/4-6 Years/End User
Technical - Desktop Tools/Microsoft PowerPoint/4-6 Years/End User
Technical - Desktop Tools/Microsoft Word/4-6 Years/End User
General Business/Demonstrating Business and Industry Acumen/ADVANCED
Leadership/Developing and Executing Strategy/ADVANCED
General Business/Turning Data into Information/MASTERY
ADDITIONAL JOB INFORMATION
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 candidate'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