Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

Business Consultant

Expired Job

Aetna Inc. Salina , KS 67401

Posted 2 months ago

Job Description:

POSITION SUMMARY

The Population Health Specialist (PHS) will be part of a high-performing team working in the local health plan market and be responsible for management of relationships with key providers tied to Aetna Medicaids value-based initiative. The PHS will serve as part of a dedicated national team that is responsible for carrying out our population health and clinical integration strategy.

Preferred candidates will be Kansas based, near Overland Park or near our offices in Kansas. Work at home will begin after start date and period of time in the office

Fundamental Components:

(*) Coordinate care and services between the local health plan care management and quality teams and our value-based solution (VBS) partners

(*) Monitor analytics and utilization/quality/cost trends including high-risk and emerging-risk member identification and early identification of care intervention opportunities for our VBS and other key partners

(*) Work across the provider and local care and service community to drive relationships and care coordination opportunities to ensure the full continuum of care is available to our members including building relationships with LTSS, behavioral health, pharmacy, home and community- based providers, patient-centered medical homes, health homes, community mental health centers

(*) Lead the tactical and clinical execution of the local market value-based and population health care strategy working closely with national VBS team, network team, local health plan and technology vendor to build existing and establish new accountable provider relationships creating a common vision and care approach

(*) Work with our provider partners and national shared services team to enhance, establish or refine provider workflows to create common procedures and protocols to best meet our members needs which include but are not limited to: readmission programs, transitions of care, quality gaps in care and of alignment with the health plan integrated care management team

(*) Lead regular meetings with the provider clinical care teams to ensure optimal care coordination, program innovation, clinical decision making, contract execution and evaluation

(*) Will provide partner education and adoption support for Aetnas population health management tools and processes reinforcing a member-centered approach and common approach to care coordination

(*) Will seek out new opportunities to enhance, improve and optimize local care delivery and member engagement through clinical/social programming, data sharing or technology with community-based partners

(*) Will participate with the larger population health and Medicaid Innovation team to continue on-going program design, development and evaluation

(*) Will present outcomes of population health work at a local or national conference, symposia, or association meetings

BACKGROUND/EXPERIENCE desired:

(*) Experience within an accountable care organizations and/or population health management within a provider organization or health plan

(*) Experience with a new delivery model or healthcare transformation, patient-centered medical home, Centers for Medicare and Medicaid grant implementation etc.

(*) Excellent written, verbal and presentation skills, equally comfortable presenting to the providers senior leadership, the local clinical teams or meeting directly with members in a care setting

(*) Expert analytical and critical thinking skills desire to use analytics and data trends to drive care decisions

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

(*) Expert project management skills- able to manage many relationships simultaneously and lead several initiatives- able to hit targets, deadlines and proactively establish day-to-day priorities

(*) Expert collaborator and team-building skills able to take disparate systems and build, maintain and grow a high performing team and set of programs

(*) Creative thought leader who finds a way to get to yes with achievable outcomes --- able to keep focused and separate out the true signal in the noise--- can overcome inertia, fear of change and uncertainty by keeping a positive focus and approach

(*) Clinical background desired- advanced practice nurse, registered nurse, licensed clinical social worker--- will also consider individuals with requisite experience who are not clinicians but who hold a Masters or Doctorate degree in Public Health, Health Organization Leadership/Change etc.

(*) Experience with Medicaid, Duals or Special Needs Populations a plus

EDUCATION

The highest level of education desired for candidates in this position is a Master's degree.

REQUIRED SKILLS

Leadership/Developing and Executing Strategy/FOUNDATION

General Business/Communicating for Impact/ADVANCED

Leadership/Anticipating and Innovating/FOUNDATION

DESIRED SKILLS

General Business/Consulting for Solutions/ADVANCED

Finance/Delivering Profit and Performance/ADVANCED

Technology/Justifying the Business Case/ADVANCED

ADDITIONAL JOB INFORMATION

Are you a healthcare leader who wants to be on the cutting edge of healthcare transformation? Then consider joining Aetna Medicaid where we are building out an innovative team that is focused on creating a new coordinated and accountable system of care to deliver a healthcare experience second to none for our members we are privileged to serve through our local health plans.

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.

#LI-MR1



See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Business Account Manager

Farmers Edge

Posted 4 days ago

VIEW JOBS 11/9/2018 12:00:00 AM 2019-02-07T00:00 Farmers Edge is a global leader in decision agriculture servicing over 22 million paid product acres worldwide with precision digital solutions. Integrating field-centric data, easy-to-use software, state-of-the-art processing technology, predictive modelling, and advanced agronomic analytics, Farmers Edge provides growers with scalable solutions to produce more with less. Using innovative digital agronomic tools, Farmers Edge solutions focus on the sustainable production of high-yielding, high-quality crops and are designed to optimize inputs, minimize environmental impact, and protect economic viability of the farm. From seed selection to yield data analytics, Farmers Edge transforms big data into timely and accurate insights to support informed decision making. Business Account Manager Location: Salina, KS and surrounding areas. Specific location may be negotiable. Reporting to the Regional Sales Manager, the Business Account Manager is passionate in achieving maximum growth in sales revenue within an assigned territory by effectively selling Farmers Edge's innovative solutions to local growers and channel partners. Duties may include the following: * Manage a portfolio of partner accounts to achieve long-term success; * Generate new sales using existing and potential partner dealer networks; * Develop a territory sales and marketing plan focused on partner specific strategies, tactics and execution; * Manage the relationship with new and existing channel partners by providing training and guidance to ensure partners are successful in acre acquisition; * Set and track sales account targets, aligned with Farmers Edge objectives; * Serve as the lead point of contact for all partner account management matters in your territory; * Monitor sales metrics (e.g. quarterly sales results and monthly forecasts); * Suggest actions to improve sales performance and identify opportunities for growth with partner dealers; * Monitor customer, market, and competitor activity weekly to build and adapt appropriate sales strategy relevant to the geography; * Demonstrate and lead presentations of Farmers Edge product and services; * Resolve conflicts and provide solutions to customers in a timely manner; * Complete technology training as identified throughout the year. Remain current on Farmers Edge product advancements; * Participate in trade shows with the purpose of generating strong leads for target clients; * Travel throughout region as required; * Other duties as assigned. Education and Qualifications: * Minimum five years' sales experience, preferably in the agriculture industry; * Minimum five years' experience managing business to business accounts; * A two-year diploma or bachelor's degree from a recognized agricultural college or related field with emphasis on soil science, plant science and crop production considered an asset; * Proven work experience as a Sales account manager or Sales account executive; * Excellent interpersonal skills with the ability to build strong relationships with channel partners; * Highly motivated, driven and passionate about sales success; * Able to work independently regularly, but committed to the regional sales team's objectives; * Hands on experience in sales and an ability to deliver excellent customer experience; * Knowledge of CRM software and MS Office; * Understanding of sales performance metrics; * Excellent communication and negotiation skills; * An ability to deliver projects and answer inquiries on time; * Business acumen with a problem-solving attitude; * Valid drivers license with a reasonably clear driving record; Why work with Farmers Edge in a Business Account Manager role? * Competitive base salary with an uncapped bonus program! * Room for growth: Successful Business Account Managers have the opportunity for advancement! * Employee referral bonuses! * Work perks program providing discounts in travel, retail, food, and more! * Paid vacation time! * Cost share health benefits package; 80% employer paid, 20% employee paid! * Employer matched retirement package! * Company truck, cell phone and laptop! Farmers Edge Salina KS

Business Consultant

Expired Job

Aetna Inc.