Aetna Informatics Cnslt/Lead in Phoenix, Arizona
Req ID: 54415BR
The position is located in the Medicaid Medical Management (MM) department and works in conjunction with the Informatics team on the reporting needs for Care Management (CM) and Utilization Management (UM) programs. This position is the primary contact between the MM clinicians, health plans and Informatics to work on Standard Operating Practice (SOP) reports, dashboards and state deliverables.
This position will collaborate with clinical teams, health plans and Informatics to develop reporting tools and production reports, including: create ad hoc queries; implement strategies to pull data to meet work group objectives; and work to resolve systems and data integrity issues. These activities require advanced technical, analytic and consultative skills, as well as an extensive knowledge of health care data and information systems.
Key responsibilities include:
Created, maintains, and provides ad hoc reporting to support growth, existing programs and health plans for Care Management (CM) and Utilization Management (UM).
Performs applied statistical research and custom analysis of integrated healthcare data, interprets results, and makes recommendations based on analytic findings to business areas.
Makes recommendations about data collection methods, metrics definition and evaluation methods.
Presents analytic reports to clients and stakeholders.
Defines and delivers analytical solutions in support of healthcare business initiatives that drive short and long term objectives.
Develops and participates in presentations and consultations to existing and prospective constituents on information services, capabilities and performance results.
Turns analysis into business/customer solutions.
Responsible for project commitments to quality and on-time deliverables.
Ability to manage conflicting priorities and multiple projects concurrently.
Willingness to understand and probe into technical details.
Creates and evaluates the data needs of assigned projects and assures the integrity of the data.
Under general direction, independently executes analyses or reports to meet project needs.
Ability to work with Informatics and plan analysts to create regulatory reports/deliverables
Demonstrated project management and/or team lead experience.
Demonstrated extensive and diverse knowledge of health care data, metrics, systems and standards; demonstrated subject matter expert in multiple subject areas.
Knowledge of Medicaid and/or Medicare highly desirable.
Able to make sound decisions and recommendations to drive business solutions.
Ability to communicate statistical and technical ideas and results to non-technical clients in written and verbal form.
Health care analysis, health economics, epidemiology, or health services research experience.
Advanced SQL/SSRS programming abilities in data warehouse or big data analytics environment, including use of statistical analysis techniques or business intelligence application development.
Strong collaboration and communication skills within and across teams.
Strong problem solving skills and critical thinking ability.
Understanding of relational databases, data systems and data warehouses.
Strong reporting skills using Excel, Access, Word and/or PowerPoint.
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Clinical / Medical/Consultative informatics/4-6 Years
- Information Technology/Data / info management & architecture/4-6 Years
Information Management/Business information analysis/4-6 Years
- Project Management/Cross-functional project management/4-6 Years
Information Management/Query and Database Access Tools/4-6 Years
- Development Languages/SQL/4-6 Years/Power User
Reporting Tools/Business Objects/1-3 Years/Power User
Desktop Tools/Microsoft Word/4-6 Years/Power User
Aetna Applications/QNXT/1-3 Years/End User
General Business/Demonstrating Business and Industry Acumen/FOUNDATION
General Business/Turning Data into Information/ADVANCED
Leadership/Collaborating for Results/FOUNDATION
General Business/Communicating for Impact/FOUNDATION
General Business/Consulting for Solutions/FOUNDATION
General Business/Ensuring Project Discipline/FOUNDATION
Full-Time Telework (WAH)
Considered for any US location
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 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.