Posted in Other 30+ days ago.
This job brought to you by Professional Diversity Network, Inc
Type: Full Time
Location: Hartford, Connecticut
Description: This role is responsible for driving discount improvement inclusive of contracting changes and data submission impacts for all markets within an assigned territory. Coach a group of actuarial staff in support of department mission to protect Aetna's financial integrity. Collaborate with business partners to provide sound risk management advice. Anticipate and recognize matters that materially affect financial results and make sound, unbiased recommendations on these matters. Lead interdepartmental teams to shape policy and process.
59704 Fundamental Components:
The position is accountable for serving as the liaison between the local market, Actuarial and MEU on the discount process.
Management of Resources
-Lead/manage projects established to support goals identified in strategic and operating plans. Influence/motivate resources within and outside of direct control to complete projects. Exhibit innovative use of resources.
-Scope of Decision Making Authority- Broad decision making authority typically tied to level of financial impact.
-Aetna Way- Exhibit behavior that reflects Aetna's values and is in accordance with the Aetna Way.
Risk Analysis & Management:
-Risk Assessment- Partner with business managers to provide sound risk management advice.
-Planning & Forecasting- Review and interpret models and make recommendations for planning, forecasting and reporting process.
-Use of Technology- Develop creative technical solutions to a variety of problems. Stay apprised of technical innovations as potential solutions for actuarial issues and concerns. Background Experience:
7+ years related work experience.
ASA or FSA desired
College degree or equivalent combination of education and work experience.
Network contracting or knowledge of the discount process is a plus.
Strong communication skills to work with market area leaders.
Healthcare background is required.
Additional Job Information:
This role develops the line of sight from our network contracting practices to our member's cost and re-looks at how we can influence and shape those costs going forward. Through conversations with our network contractors and medical economics team, this position will help shape how new contracts will position us to grow within a market through the various external metrics utilized to determine customer and member costs.
You will see a variety of market dynamics and their influence on medical costs along for the geography you are responsible for, but you will also gain an understanding from other geographies on what strategies have been successful in changing the underlying dynamic.
Collaboration and communication is the most critical component of this position.
Required Skills: Service - Demonstrating Service Discipline, Service - Improving Constituent-Focused Processes, Service - Providing Solutions to Constituent Needs Desired Skills: General Business - Applying Reasoned Judgment, General Business - Communicating for Impact, General Business - Ensuring Project Discipline Functional Skills: Acturial - Financial actuarial analysis, Acturial - Risk analysis/management, Communication - Communication Development - Executive level presentations, General Management - Data analysis & interpretation Technology Experience: Database - Microsoft Access, Desktop Tool - TE Microsoft Excel Potential Telework Position: Yes Percent of Travel Required: 0 - 10% EEO Statement: Aetna is an Equal Opportunity, Affirmative Action Employer Benefit Eligibility: Benefit eligibility may vary by position. Click here to review the benefits associated with this position. Candidate Privacy Information: 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