Aetna Director of Operations in San Francisco, California
Req ID: 52630BR
Sutter Health | Aetna is the result of a collaboration between Aetna and Sutter Health. The joint venture is the first of its kind in Northern California. Sutter Health l Aetna combines Sutter Healths high-quality, local doctors, hospitals and other care providers with Aetnas health plan experience, care management expertise, analytical insights and health information technology.
The Director of Operations is a critical member of the team who will support the goals of the Sutter Health | Aetna Joint Venture (SH|A) by working across a matrixed environment to recommend appropriate actions, strategies and alternatives to meet the needs of the business. This is a highly collaborative role which will leverage superior skills and effectiveness at managing relationships across the different business segments and functional areas of the parent companies.
In addition to managing operational delivery of the Joint Ventures products and services, the Director of Operations will also play a critical role in selecting, contracting and implementing differentiating capabilities, technologies and service offerings that will enhance the experience of SH|As employer customers and members. The Director of Operations will report to the CEO of the Joint Venture.
With CEO, lead formulation, preparation and communication of strategic/operational business, financial and expense plans. Proactively lead complex projects to completion in a highly matrixed, cross-functional environment that requires partnership with multi-disciplinary resources from Sutter Health and Aetna.
Oversee joint operating committees, establish and maintain relationships across Sutter Health and Aetna organizations to support ongoing activities, operate as a liaison with company owners, and consult with constituents to scope and define projects/goals
Collaborate and partner with others to ensure workflow and interdependencies
Support development of and tracking to the Annual Operating Plan, identify gaps and make recommendations to cover them, and monitor and track progress and status of areas of responsibility; ensure that all deliverables and due dates are met
Drive performance results by identifying areas for improvement, influencing change, and developing new enhancements that support growth goals Support quarterly Board meetings
5-7 years of health system or health plan experience, with deep understanding of health plan products and operational knowledge (including claims and customer service) required.
5-7 years project management experience with proven track record of managing complex, cross-functional projects and or programs with a moderate to high degree of complexity, meeting project milestones, managing within budget guidelines, and managing relationships with internal and external customers
5-7 years relationship management experience with internal and external constituents, with proven ability to interact with, influence and collaborate with partners at all levels
Proven ability to interact with, influence and collaborate with clients at all levels
Experience managing matrixed staff with ability to leverage non-directs to complete tasks.
Proven track record managing complex projects and or programs that resulted in cost savings.
Knowledge of healthcare and insurance industry.
Good interpersonal and communication skills and ability to form strong client relationships.
The highest level of education desired for candidates in this position is a Bachelor s degree (or equivalent education/experience), ideally in a related field such as business, healthcare administration, or economics. A Master s degree in a related field is desired/preferred, including a Master s in Business Administration (MBA) or a Master s in Health Services Administration (MHSA).
Office base but within Bay area
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ADDITIONAL JOB INFORMATION
Patients benefit when providers and health plans share resources and work together. Sutter Health | Aetna provides a unique opportunity to differentiate the member experience by:
Combining health care and health plan experience with the goal to give members access to services quickly and efficiently.
Integrating the continuum of care delivery from wellness to disease management, care coordination, and access.
Enhancing the customer experience by offering an online member portal and integrating capabilities to help solve patient/member issues quickly.
Our vision is to simplify care and coverage by working together to create a single approach to health care that eliminates redundancies, streamlines efficiency, and creates a differentiated and personalized experience for members. Our goal is to help improve efficiency and lower the cost of care, resulting in greater affordability.
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: Management