Aetna Business Project Program Manager - RN in Houston, Texas

Req ID: 49423BR

POSITION SUMMARY

Works with assigned Aetna Medicare Provider Collaboration groups to drive improved performance by leading performance improvement projects and managing multiple complex deliverables through to implementation. Projects will support population health and will impact Stars, quality, utilization and costs.

Fundamental Components:

The RN Program Manager works to drive performance of assigned Provider Collaboration groups by:

-Establishing trusting relationship with provider partners to promote open communication -Serving as clinical expert on actionable opportunities related to CM, gap closure, workflow discussions, and partnering with case manager supervisor/manager and CMs

-Serving as internal and external liaison and clinical resource, interpreting data and educating regarding how to utilize data for PC performance improvement

-Strategizing with SMEs and clinical teams both internally and externally to drive outcomes and improve efficiencies

-Coordinating and conducting clinically focused meetings to identify opportunities target and prioritize goals and interventions to close gaps in care and achieve optimal stars performance

-Collaboratively working across multiple functions and /or segments to obtain agreement from all impacted parties (e.g., up and downstream effects often impact multiple functions and/or segments.

-Collaborating with Engagement Managers, Local Market Team, Data Team, Medical Operations and others on initiatives for stars/quality improvement, transformative care model SAIs to align with Aetna's strategic goals

BACKGROUND/EXPERIENCE desired:

Registered Nurse (RN) is required

Strong communication and interpersonal skills are required

1-3+ years of supervisory or leadership experience is required

Proven negotiation skills are preferred

Proven project management skills are preferred

Must be comfortable delivering presentations and running meetings

Resource negotiation experience is preferred

Medicare knowledge and experience is preferred

Proven success while working in a matrixed environment is strongly preferred

Proven track record in meeting project milestones is strongly preferred

EDUCATION

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

LICENSES AND CERTIFICATIONS

Nursing/Registered Nurse (RN) is required

Managed Care/Managed Healthcare Professional is desired

FUNCTIONAL EXPERIENCES

Functional - Nursing/Case Management/4+ Years

Functional - Nursing/Medical-Surgical Care/1+ Years

Functional - Medical Management/Medical Management - Managed Care/Insurance Clinical Staff/4+ Years

Functional - General Management/Project management (non-IT)/1+ Years

TECHNOLOGY EXPERIENCES

Technical - Desktop Tools/Microsoft Outlook/4+ Years/End User

Technical - Desktop Tools/Microsoft PowerPoint/4+ Years/End User

Technical - Desktop Tools/Microsoft SharePoint/1+ Years/End User

Technical - Desktop Tools/TE Microsoft Excel/4+ Years/End User

Telework Specifications:

This position is full time, work at home

Candidate must reside in one of the following states: Georgia, Ohio, Pennsylvania, Texas, Missouri, Iowa

ADDITIONAL JOB INFORMATION

This position will support the development and implementation of new care models supporting value based arrangements. 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 may benefit future generations. 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.

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: Management