Aetna Med Eco Sr Cnslt/Team Ld in St Louis, Missouri
Req ID: 42635BR
POSITION SUMMARY: Medical Economic Consultant
Manages, leads, or participates on complex medical economic projects (e.g., Medical Cost Savings Initiatives). Accountabilities include project oversight including initiation, identification and completion of key deliverables to ensure all business objectives are met. Responsible for the development and implementation of key medical economics business efforts e.g. medical cost initiatives, policies/programs and analytical models. Accountable for all financial projections associated with project.
Performs analyses of varied healthcare data to evaluate programs and product solutions using healthcare medical, pharmacy, lab, survey and utilization data.
Designs and codes efficiently using SAS/SQL programs.
Extracts data from multiple sources and creates integrated analytic reports and studies to address business and research questions.
Provides very complex programming and analytical support for medical cost trend analysis and strategic planning (such as verifying trends developed by Actuarial team and developing new tools for the regions to analyze medical costs).
Works cross-functionally throughout the region toward achieving operational targets.
Presents complex information in a way that multiple levels within an organization can understand and utilize to make appropriate decisions to meet business objectives.
Assists in development/mentoring of Consultants and Specialists replace with Directs the day to day activity of Consultants and Specialists. Provides leadership as well as mentoring. Assists in the creation of development plans and provides input to scorecards.
Motivated and is willing to understand and probe into data. Contributes to a motivated work environment by working effectively to achieve common goals.
3+ yrs of client-facing experience (internal or external), demonstrating excellent written and verbal communication skills presenting analytical results
Programming knowledge/experience and 2+ yrs using either: SQL, SAS, R, Hadoop, or other languages.
Demonstrated leadership and project management experience
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Development Languages/SQL/1-3 Years/Power User
General Business/Communicating for Impact/ADVANCED
General Business/Turning Data into Information/MASTERY
General Business/Demonstrating Business and Industry Acumen/ADVANCED
Leadership/Collaborating for Results/ADVANCED
Service/Improving constituent-focused Processes/ADVANCED
ADDITIONAL JOB INFORMATION
Medical Economics is charged with managing the Aetna's medical costs and ensuring that healthcare remain affordable. To that end, the value-based contracting team is responsible for supporting alternative care models with healthcare partners; replacing older models rewarding volume and incentivizing efficient and quality care to our members. Aetna's is committed to growing these models to 80% of our total market by 2020. We are currently seeking a Med Eco Sr Cnslt/Team Ld for our expanding team, this opportunity will give broad exposure across various areas of the company and exposure to senior leadership.
Candidate will have the ability to take advantage of the Telework opportunity with Aetna. However, it is preferred that candidates be located near a local Aetna office with the ability to report onsite as needed.
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.
Job Function: Health Care