Aetna Population Health Specialist in Princeton, New Jersey

Req ID: 48117BR

This Position is Work from home, however the candidate selected must live in New Jersey.


The Population Health Specialist role is critical to the on-going expansion of our population health and emerging personalized health initiative. The Pop Health role will be responsible for working directly with our provider and community service partners to support transformation and achieving the triple aim through: achieving quality targets, managing complex members, identify emerging risk members and creating synergies with health plan team and the entire care ecosystem.

Fundamental Components:

Are you a healthcare leader who wants to be on the leading edge of healthcare transformation and help populations with special and complex needs? Then consider joining Aetna Medicaid where we are building out an innovative team featuring our Population Health Specialist (PHS) position. The Population Health Specialist will be part of the national shared services team working in the local health plan market responsible for managing relationships with key health and community service providers tied to our population health initiative. Key activities the PHS will be responsible for include:


Experience within an ACO and/or population health management within a provider organization or health plan- any experience with a new delivery model or healthcare transformation, patient-centered medical home, CMS/CMMI grant implementation, FQHC or rural clinic experience

Excellent written, verbal and presentation

Expert analytical and critical thinking skills strong desire to use analytics and data trends to drive care management, risk stratification and predictive modeling

Executive ready to take on increasing responsibility and leadership roles as key accountable care provider partnerships evolve and mature

Transformation specialist who understand the dynamics and challenges of helping our members navigate the healthcare system whether in a small community clinic setting or through a large integrated delivery system

Know the business of healthcare and understand that data-driven decisions tied to tightly aligned and coordinated teams will impact care

Ability to work fluently across various technological programs and platforms, analyzing data to support outcomes and drive effective care coordination

Expert project management skills- able to manage many relationships and initiatives simultaneously and achieve targets, deadlines and proactively drive day-to-day priorities

Experience with Medicaid or special needs populations

Deep understanding of integrated care management, public health, care transitions, population health management strategies, community-based care coordination models and clinical-decision-making tools

Creative thought leader who finds a way to get to yes with achievable outcomes, can overcome inertia and fear of change


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


Functional - Project Management/Project Leader/4-6 Years

Functional - Medical Management/Medical Management - Case Management/4-6 Years

Functional - Information Management/Provides very complex programming and analytical support for medical cost trend analysis and strategic planning/1-3 Years


Technical - Desktop Tools/Microsoft Foundation Classes/7-10 Years/End User


General Business/Applying Reasoned Judgment/MASTERY

General Business/Communicating for Impact/ADVANCED

General Business/Consulting for Solutions/ADVANCED


Leadership/Anticipating and Innovating/FOUNDATION

Leadership/Developing and Executing Strategy/FOUNDATION

Technology/Justifying the Business Case/ADVANCED

Telework Specifications:

Considered only for locations in a specific region, state, or city; training period in the office may be required


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