Aetna Pharmacy Director (New Medicaid Business) in Phoenix, Arizona
Req ID: 51277BR
The Director of New Medicaid Business Opportunities will be responsible for leading responses to RFPs, RFIs, and other responses for that will expand our geographic presence in new markets, or expand our program presence in current markets. The position will lead and/or support all processes that support our ability to successfully respond to invitations to bid on new business, and will lead/support/coordinate the readiness review as well as the initial go-live for the business in markets new to Aetna Better Health. The position will also support operational initiatives - including standardization of processes and implementation of new procedures - across all Aetna Better Health Pharmacy Programs.
In-depth knowledge and experience in managed care / managed pharmacy / competitive environment.
5+ years administrative experience.
2+ years of Aetna pharmacy experience desired, but not required
Completion of a Managed Care Residency Program desired, but not required
The highest level of education desired for candidates in this position is a Doctor of Pharmacy.
LICENSES AND CERTIFICATIONS
Pharmacy/Registered Pharmacist (RPh) is required
Pharmacy/Academy of Managed Care Pharmacy (AMCP) is desired
Functional - Medical Management/Medical Management - Pharmacy/4-6 Years
Functional - Management/Management - Operations/1-3 Years
Functional - Communications/Communication Development - Executive level presentations/1-3 Years
Functional - Communications/Provider communications/1-3 Years
Technical - Aetna Applications/Aetna Pharmacy Management Claim Adjudication Sys/1-3 Years/End User
Technical - Operating Systems/Windows/4-6 Years/End User
Technical - Aetna Applications/CAS - Claim Audit/1-3 Years/End User
Benefits Management/Interacting with Medical Professionals/ADVANCED
General Business/Communicating for Impact/MASTERY
General Business/Demonstrating Business and Industry Acumen/ADVANCED
Benefits Management/Maximizing Healthcare Quality/MASTERY
Flexible telework / office-based schedule (must live near certain office location)
Must live near 4500 E. Cotton Center Blvd, Phoenix, AZ
ADDITIONAL JOB INFORMATION
This position will allow the candidate to participate in activities that will enhance the development of skills that are very much in demand in the Managed Medicaid Marketplace.
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