Aetna Informatics Cnslt/Lead in Phoenix, Arizona

Req ID: 54415BR

POSITION SUMMARY

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.

Fundamental Components:

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

BACKGROUND/EXPERIENCE desired:

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.

EDUCATION

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

FUNCTIONAL EXPERIENCES

  • 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

    TECHNOLOGY EXPERIENCES

    • 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

    REQUIRED SKILLS

    General Business/Demonstrating Business and Industry Acumen/FOUNDATION

    General Business/Turning Data into Information/ADVANCED

    Leadership/Collaborating for Results/FOUNDATION

    DESIRED SKILLS

    General Business/Communicating for Impact/FOUNDATION

    General Business/Consulting for Solutions/FOUNDATION

    General Business/Ensuring Project Discipline/FOUNDATION

    Telework Specifications:

    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.