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Aetna Inc.

Senior Project Lead

Aetna Inc. - Phoenix, AZ

POSITION SUMMARY - (Position can work out of any Aetna/Meritain office with preference to: Amherst, NY, Denver, CO, Phoenix, AZ, Plymouth, MN, Tampa, FL, Columbia, SC, or Okemos, MI)

Highly visible new role within Meritain Risk Managements Global Solutions team responsible for engaging with management and key constituents of the organization to transform data into useful information. Responsible for building sustainable reporting mechanisms to empower forward progress and enable transparency against deliverables. Eventually, will transition into a subject matter expert responsible for providing root cause analysis and recommendations for process improvements. The right candidate will transform this role into a business partner who collaborates to develop strategies, initiate change, ensure resources are properly managed and appropriate decision-making occurs to meet business objectives while ensuring excellent, consistent provision of service to our customers in the face of ever-changing and high growth environment.

Fundamental Components:

- Sources data from multiple platforms to provide business with a clear picture of actual performance.

- An understanding of provider contract concepts is also required (e.g. contract terminology, unit price trend, etc.).

- Execution of standardized dashboard reporting including management summaries, automated and systemic daily/weekly/monthly/quarterly/annual performance results (against pre-defined expectations) and trend reporting of inventories, outcomes and root cause analytics for identification and support of cross functional improvement opportunities.

- Development of business analytics across key responsibilities and evolving issues to support understanding, process improvement, and ongoing accountability.

- Identifying and analyzing the impact from both upstream and downstream contributors to issues while partnering across business functions to proactively resolve developing service delivery issues.

- Developing and participating in delivery of information and presentations to internal and external customers as needed.

BACKGROUND/EXPERIENCE - Required:

5-7 years healthcare industry experience necessary with focus on claims

5-7 years of data interpretation and analysis experience.

5-7 years of demonstrated leadership

Excellent verbal and written communication skills.

Demonstrated ability to effectively coordinate multiple projects simultaneously.

EDUCATION

The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

FUNCTIONAL EXPERIENCES - Required

Functional - Finance/Financial reporting and analysis/1-3 Years

Functional - Claims/Reporting & special services/2-3 Years

Functional - Finance/Financial analysis/4-6 Years

TECHNOLOGY EXPERIENCES

Technical - Database/Microsoft Access/4-6 Years/ - Required

Technical - Database/Microsoft SQL Server/1-3 Years/ - Required

Technical - Desktop Tools/Microsoft SharePoint/1-3 Years/

Telework Specifications:

Considered ONLY for current internal teleworkers.

ADDITIONAL JOB INFORMATION

Highly organized with a strong sense of personal accountability and an inherent need to influence change and forward progress. Must have experience building data analytics in a deadline driven environment. Must be comfortable presenting information to Senior Leadership. Healthcare Industry experience a must. Ability to build reporting and manipulate data using Microsoft Access, SQL and Other Data Manipulation Tools is mandatory. Must be proficient with the Microsoft Product Suite (Excel, Access, Word, Powerpoint). Tableau expertise a plus. Candidates will be required to provide examples of work.

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 candidate'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.

13 days 15 hours ago

Aetna Inc.

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Senior Project Lead Aetna Inc. - Phoenix, AZ, United States

   

Location: Phoenix, AZ

Company Profile:
Aetna Inc. operates as a diversified health care benefits company in the United States. The company operates in three segments: Health Care, Group Insurance, and Large Case Pensions. The Health Care segment provides medical, pharmacy benefit management, dental, behavioral health, and vision plans on an insured basis, and an employer-funded or administrative basis. This segment also provides Medicare and Medicaid products and services, as well as other medical products, such as medical management and data analytics services, medical stop loss insurance, workers' compensation administrative services, and products that provide access to its provider networks in select markets. This segment offers its products and services to multi-site national, mid-sized, and small employers, as well as individual customers. The Group Insurance segment provides life insurance products comprising group term life insurance, voluntary spouse and dependent term life insurance, group universal life, and accidental death and dismemberment insurance; disability insurance products; and long-term care insurance products, which offer benefits to cover the cost of care in private home settings, adult day care, assisted living, or nursing facilities. This segment provides insurance products principally to employers that sponsor its products for the benefit of their employees and their employees’ dependents. The Large Case Pensions segment manages various retirement products, including pension and annuity products for tax-qualified pension plans. The company’s customers include employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, governmental units, government-sponsored plans, labor groups, and expatriates. Aetna Inc. was founded in 1853 and is headquartered in Hartford, Connecticut.