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Aetna Senior Informatics Consultant in Phoenix, Arizona

Req ID: 65120BR

Job Description

Lead contributor to the Value Based Purchasing team at a large Medicaid health plan. This includes developing insightful analyses, developing insights from provider performance results, and being able to communicate those findings and results to the providers.

Responsible for the successful delivery of analyses and analytic solutions to meet business needs, interacting directly with internal and external clients and colleagues. Acts as the analytic team lead for complex projects involving multiple resources and tasks, providing individual mentoring in support of company objectives.

Fundamental Components included but are not limited to:

  • Performs applied statistical research and custom analysis of integrated healthcare data, interprets results, and makes recommendations based on analytic findings to business areas.

  • Stays informed about industry trends, research findings and evaluation methods.

  • 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.

  • Collaborates with internal and external partners and organizations in the design and execution of analytic studies to answer business and research questions.

  • Designs and conducts analyses and outcome studies using healthcare claims, pharmacy and lab data, employing appropriate research designs and statistical methods.

  • Develops, validates and executes algorithms, statistical models and reporting tools that answer applied research and business questions for internal and external clients.

  • 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.

  • Creates business applications to deliver clinical or analytic solutions to constituents.

  • Develops project plans, research study designs and timelines.

  • Manages personal resources and cross-functional projects and customer expectations to achieve constituent satisfaction.

  • 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.

  • Contributes to a motivated work environment by working effectively to achieve common goals.

  • Creates and evaluates the data needs of assigned projects and assures the integrity of the data.

  • Conducts analyses that may be suitable for publication in journals and external presentations.

  • Works independently to plan and conduct sophisticated analyses.

  • Assists in team leadership and mentoring and may perform management functions in the absence of the Informatics Manager.


Qualifications Requirements and Preferences:

  • Strong leadership experience, collaboration skills with the ability to work effectively with all levels of management and staff.

  • Strong understanding of Value Based Purchasing strategies, information needs programs, processes and products.

  • Strong problem solving skills and critical thinking ability.

  • Strong reporting skills using Excel, Word and/or PowerPoint.

  • Expert knowledge of clinical risk adjustment, multivariate analyses, epidemiology or health economics research methods.

  • Advanced SQL programming abilities in data warehouse or big data analytics environment, including use of statistical analysis techniques or business intelligence application development.

  • Understanding of relational databases, data systems and data warehouses.

  • Knowledge of analytic programming tools and methods (SAS, SQL, OLAP, Business Objects, Crystal).

  • Health care analysis, health economics, epidemiology, or health services research experience.

  • Ability to communicate statistical and technical ideas and results to non-technical clients in written and verbal form.

  • Able to make sound decisions and recommendations to drive business solutions.

  • Demonstrated extensive and diverse knowledge of health care data, metrics, systems and standards; demonstrated subject matter expert in multiple subject areas.

  • 7 or more years of health research, epidemiology or pharmaceutical industry analytic experience.

  • Strong problem solving, analytical, and project management skills.

  • Master's degree in Mathematics, Economics, Statistics, Computer Science, Actuarial Science, Healthcare or related discipline; or equivalent experience.

Functional Skills:

Finance - Financial analysis, Information Management - Informatics, Information Management - Medical economics, Information Management - Query and Database Access Tools, Quality Management - Quality Management

Technology Experience:

Aetna Application - HEDIS, Database - SQL Server, Desktop Tool - TE Microsoft Excel

Required Skills:

Benefits Management - Maximizing Healthcare Quality, Finance - Rewarding World Class Performance, General Business - Turning Data into Information

Desired Skills:

General Business - Consulting for Solutions, Leadership - Collaborating for Results, Technology - Developing Competitive Technology and Architecture

Additional Job Information:

Lead contributor to the Value Based Purchasing team at a large Medicaid health plan. This includes developing insightful analyses, developing insights from provider performance results, and being able to communicate those findings and results to the providers.

Benefit Eligibility

Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Job Function: Healthcare

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.