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Aetna Senior Clinical Solutions Medical Director in Rockford, Illinois

Req ID: 66008BR

Job Description

The Senior Clinical Solutions Medical Director will support Group Medicare Sales and Retention. Provide support for Medicare account teams to grow business and retain existing business. Works in close alignment with care management teams and matrixed medical management for a region or segment.

Fundamental Components included but are not limited to:

Overall accountability and responsibility for Medicare Group Sales Clinical Activities.

Must have a solid knowledge about Medicare.

Provide support and assistance along with other team members to Medicare sales and account management teams to grow and retain the group business.

Provide guidance to the regional care management teams and matrix medical management support teams to achieve utilization management goals.

Support MDCR Sales and Account management teams to grow and maintain business.

Responsible for meeting utilization goals and collaborates with internal partners.

Qualifications Requirements and Preferences:

3-5 years of experience in the health care delivery system e.g., clinical practice and health care industry.

Demonstrated ability to make strategic decisions based on a thorough understanding of industry issues, trends and the regulatory landscape.

Create business strategy to drive competitive advantage and shift direction as market conditions dictate; interact with external constituents.

Licenses/Certifications:

Medical - Board Certified, American Academy Of Family Phy, Medical - Board Certified, Internal Medicine, Medical - Board Of Medical Examiners

Functional Skills:

Clinical / Medical - Concurrent review / discharge planning, Clinical / Medical - Direct patient care (hospital, private practice), Clinical / Medical - General Management

Technology Experience:

Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft PowerPoint, Desktop Tool - Microsoft Word

Desired Skills:

Benefits Management - Interacting with Medical Professionals, Leadership - Developing and Executing Strategy

Additional Job Information:

Exceptional oral and written communication skills. Demonstrated leadership qualities that inspire and develop others. Commitment to coaching and collaborating. Demonstrated transformation/change management skills and experience. Demonstrated comfort with rapidly changing technology for engagement and analytics

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.

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