Sr Clinical Solutions MD

Aetna Inc. New York , NY 10007

Posted 1 week ago

Job Description:

POSITION SUMMARY

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.

Fundamental Components:

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

BACKGROUND/EXPERIENCE

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

EDUCATION

The highest level of education desired for candidates in this position is a MD or DO

FUNCTIONAL EXPERIENCES

Functional

  • Clinical / Medical/Sales/4-6 Years

Functional

  • Clinical / Medical/Direct patient care (hospital, private practice)/4-6 Years

Functional

  • Medical Management/Medical Management

  • Medical Economics/4-6 Years

Functional

  • Medical Management/Medical Management

  • Physician Relations/4-6 Years

Functional

  • Clinical / Medical/General Management/4-6 Years

TECHNOLOGY EXPERIENCES

Technical

  • Desktop Tools/Microsoft Outlook/4-6 Years/End User

Technical

  • Desktop Tools/Microsoft PowerPoint/4-6 Years/End User

Technical

  • Desktop Tools/Microsoft Word/1-3 Years/End User

Technical

  • Desktop Tools/TE Microsoft Excel/1-3 Years/End User

Telework Specifications:

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.


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
Sr Solutions Architect Alexa

Amazon.Com, Inc.

Posted 4 days ago

VIEW JOBS 12/11/2018 12:00:00 AM 2019-03-11T00:00 Amazon recently announced that third party hardware makers can integrate the Alexa Voice Service (AVS), the brain behind Amazon Echo, into their products. The Alexa team is seeking a solutions architect to help integrate Alexa into partner devices and services in Mexico. Are you the kind of hands-on technical professional who can help our part ners? In this role, you will wear many hats, including technical advisor, software developer and evangelist. You must possess a unique combination of deep technical skills and business acumen as well as a do-what-it-takes attitude to ensure our partners are able to take full advantage of Alexa's skills and are delivering a delightful end user experience. You will be fluent in both English and Spanish to enable you to accelerate the launch of our partners' products in the Mexico market. Ideally, you're someone who can write code with the best of them, but also wants to help guide the broader industry towards a technology you believe in. You have immediate credibility with technologists and developers at all levels, from students to CIOs. You love to share your passion with others and exhibit good judgment in selecting strategic opportunities to do so. You don't just want to be part of an industry movement; you want to be out front leading it. If this sounds like you, we'd like to speak with you. Responsibilities * Engage with partners' developers, architects, hardware engineers and project managers to facilitate the integration of Alexa into their products and services * Educate partners of all sizes on the Alexa service and participate in deep architectural discussions to ensure their solutions are designed for successful deployment * Spend time as required on-site with partners helping them integrate with Alexa * Brief Amazon executive teams on progress in adopting Alexa * Work with the Alexa product teams to define platform requirements * Capture and share best-practice knowledge that future Alexa partners can leverage * Help Alexa business development identify leads for new potential partnerships Amazon.Com, Inc. New York NY

Sr Clinical Solutions MD

Aetna Inc.