The Senior Clinical Solutions Behavioral Health Medical Director, reporting to the VP/CMO of Medicaid, will collaborate with the Aetna National, Regional VP and health plan leadership to identify, develop, implement, and evaluate the effectiveness of key behavioral health strategic initiatives including trends, policies and programs, designed to drive the delivery of high value healthcare supporting a sustainable competitive business advantage for Aetna.
In this role, the selected individual will serve as the behavioral health brand ambassador to both our external and internal key stakeholders. Primarily this position will support new business development opportunities through development of response for request for proposals; meeting and collaboration with stakeholders nationally and local state markets to provider initiatives to community wide forums open to advocates, and community based organizations; and networking with "thought-leaders" nationally and bringing innovations to Aetna Medicaid.
Partner with our internal stakeholders to advocate, promote and champion the vision and values that suffuse our model of care; identify cross-functional interdependencies and actively engage people to prevent organizational siloes from being barriers and to sustain vigilance.
Key areas of responsibility include but not limited to:
Communicating and collaborating with the stakeholders through presentations, written materials and direct interactions
Creating and implementing strong behavioral health strategy including vision and goal setting, team growth, value capture, and operational excellence
Providing behavioral health expertise and influence across teams as well as externally to ensure aligned, cohesive progress across technology, marketing and service operations
Working closely with data analytics team and develops specific actions to manage behavioral health and medical cost trends
Educating and enhancing relationships within the provider community, including individual providers and groups
The Sr. Clinical Solutions MD can be work at home or office based and will support the Aetna Medicaid Line of Business in these 16 states offering a variety of physical and behavioral health programs and services to its membership.
Background / Experience:
5 years in a Healthcare Delivery System
Understanding of 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 behavioral health management and managed care.
The highest level of education desired for candidates in this position is a MD or DO
Licenses / Certifications:
An active unrestricted state medical license is required
Board Certified in Psychiatry required
Additional Job Information:
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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