Aetna Inc. Plantation , FL 33388
Facilitates development of transformational roadmaps through conducting client discovery sessions and collaborating across ACS constituencies to identify key improvement initiatives needed to advance ACS Provider competencies in population health.
Collaborates with Medical Director, Clinical Strategist, and ACS leaders to assess population health capabilities, complete roadmap or blueprint, manage clinical transformation valuation, and prioritize population health initiative implementations (clinical and non-clinical). Implements transformation activities that address population health effectiveness, including physician alignment, governance, collaboration strategies, operational efficiency, community connections and, consumer/patient/family engagement and competitive differentiation
Leverages industry expertise to design or customize solutions (i.e., tools (non-technology), workflows, staffing models, collaboration processes) for clients to build necessary population health capabilities/ competencies
Responsible for the transformation change required to attain total medical cost objectives, membership growth and transformation roadmap implementation at assigned clients
Accountable for designing conceptual models, contracting, initiative planning, business results and ongoing client relationship management and satisfaction for initiatives that impact the delivery of products and services to the internal and external environment
Drives or guides development of holistic solutions and/or key strategic plans. Proactively identifies opportunities for improvement and independently influences business leader(s) to act or change behavior through negotiations and/or consultation that promotes issue resolution
Communicates compelling and concise results to empower client groups in decision making regarding initiative opportunities
Conducts thorough business case and external customer value analysis to determine selection, prioritization positioning and approach for broadest range of potential solutions (eg. outsourcing, process improvements, technology solutions)
Conducts client contracting process, builds optimal influential client relationship for results and deliverables and manages relationship throughout engagement
Fully integrates baseline and metrics tracking into initiative planning and execution for optimal results. Shares joint accountability for initiatives return on investment
Provides continuous coaching, direction, feedback and development for other consultants, matrixed staff and/or external vendors as required
Drives or guides engagement using a disciplined repeatable methodology. Designs, develops interventions and facilitates work sessions. Develops and delivers all required analysis, reporting and presentation materials
Gathers, analyzes and synthesizes business intelligence to drive achievement of strategic business objectives
Facilitates diverse internal and external networks, as appropriate, for data gathering and best practice identification
Leverages internal and external networking to drive optimal initiative results and knowledge/best practice transfer
7+ years of experience with several of the following methodologies: population health management, physician alignment, management consulting, project consulting, business process consulting, financial strategic analysis, mergers and acquisitions, strategic business planning, and/or risk management consulting.
Experience with enterprise-wide and/or cross-functional large scale initiatives with high degree of complexity.
Demonstrated experience successfully implementing change in complex organizations.
Demonstrated superior business process, project management and organizational redesign experience.
Demonstrated leadership with relevant initiatives: Business process, enterprise business project management/consulting, financial strategic planning and analysis, mergers and acquisitions, strategic planning, risk management.
Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously.
Possesses familiarity with clinical EMR workflows and data availability to promote effective interactions with provider team members and informatics team.
The highest level of education desired for candidates in this position is a Master's degree.
ADDITIONAL JOB INFORMATION
Critical thinking skills
Time management skills
Relationship and change management skills
Analytical and planning skills
Oral and written communication skills
Team leadership and team building skills
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.
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