The Plan Sponsor Insights management team is looking for a Senior Clinical Solutions Medical Director with a passion for being consultative with extensive clinical and consultative experience and business sense to support Aetna's group commercial business. This leader will join a dynamic and growing team within Aetna that provides customized insights and solutions to employers based on an analysis of clinical data and plan performance.
This position will support NY / NJ / MA / CT / RI / OH / PA / MD / VA / DE markets.
In this role you will:
Support activity to achieve new business growth and existing business retention goals e.g. presenting at finalist meetings, quarterly/yearly account reviews and key customer account stewardship meetings
Use sound clinical knowledge and general knowledge of the health benefits business, clinical issues, trends, and medical management principles
Focus on the identification and development of solutions for deficiencies in performance based on trends in business performance.
Identify opportunities to leverage social determinants of health and engage with customers on understanding their own health equity dynamics and opportunities to improve
Maintain a clinical thought leadership position and present on key clinical topics both internally and, as a brand ambassador, externally
Work collaboratively within the Plan Sponsor Insights team with other medical directors, clinicians and analytic consultants
Work cross functionally with the enterprise clinical and product areas
Establish and maintain strong partnership with our field and sales teams
Engage and develop strong relationships with external medical directors within consulting firms and plan sponsors and external industry groups as appropriate
Work in a matrixed and rapidly changing environment
Demonstrate a comprehensive knowledge of the healthcare market, and be conversant with diverse functional disciplines from both a strategic & tactical perspective
Understand key competitive market dynamics and guide and oversee competitive trends analysis, cognizant of the market-specific issues which exist in the delivery of healthcare programs
Understand Value Based Contracting/Accountable Care and how this relates to improving the quality of care for our members through collaboration.
Passion and ability to influence and drive better outcomes in healthcare delivery.
Demonstrated experience in population health management and managed care
5 years in a Healthcare Delivery System; at least 5 years of clinical(patient care) experience
Effective presentation skills
Demonstrated Thought leadership
Able to function and adapt in a fast paced, rapidly changing environment
Ability to work independently and as part of a team
Ability to travel 25 to 50% of the time
MD or DO with Board Certification in a recognized specialty
The highest level of education desired for candidates in this position is a MD or DO
Medical Management/Medical Management
Medical Economics/4-6 Years
Medical Management/Medical Management
Physician Relations/4-6 Years
NY / NJ / MA / CT / RI / OH / PA / MD VA / DE
Must be able to get to these offices on a regular basis
ADDITIONAL JOB INFORMATION
Fast-paced, high visibility opportunity to provide input on solutions focused on the use of care management, lifestyle and wellness programs to help our customers improve the quality of care for members, lower healthcare costs, and drive sustained consumer engagement and behavior change. An opportunity to support new business growth working with sales and consultants and work directly with employers in the group commercial market to offer insights and solutions to improve plan performance. This role is very much an ambassador role in the market place providing clinical thought leadership at company-sponsored and industry-related events
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.