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Medical Economics Senior Consultant

Primary Location: Blue Bell, PA
Additional Locations: PA-Blue Bell, PA-Harrisburg, PA-Pittsburgh
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Description:
Lead consultative and analytics point of contact for markets and complex medical economic projects related to Value Based Contracting. Accountabilities include project 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.

Fundamental Components:
Senior team member for analytical modeling and consulting on provider specific negotiations related to Value Based Contracting programs. Role involves independent analysis, coach others and working collaboratively with business units across the company and be part of a team that provides medical cost and outcomes focused analytical research, complex financial modeling and business decision support reporting. This includes both contractual reconciliation and ad hoc consulting supporting. Performs analyses of varied healthcare data to evaluate programs and product solutions using healthcare medical, pharmacy, lab, survey and utilization data. Requires strong communication skills creating an environment of teamwork with internal Aetna and external provider constituents. Participate as subject matter expert in provider negotiations including support for proposals along with reviewing interim reports with markets and providers regarding progress towards goals. Presents complex information in a way that multiple levels within an organization can understand and utilize to make appropriate decisions to meet business objectives. Works collaboratively with other Consultants and Analysts with opportunity for project leadership as well as mentoring others. Motivated and is willing to understand and probe into data. Contributes to a positive environment by working effectively to achieve common goals. Must be skilled in complex financial data collection, modeling & analysis, advanced use of Microsoft Excel, understand relational database concepts and related query tools. Capable of taking project through issue identification, design specifications, data query/programs, financial analysis and resolution/recommendation stages.

Background Experience:
5-8 years demonstrated leadership and project management experience. Ability to manage conflicting priorities and multiple projects concurrently. Strong analytical ability and familiarity with advanced financial and healthcare concepts. Advanced software and programming skills will be required in different MEU departments

Additional Job Information:
Medical Economics is charged with managing Aetna's medical costs and ensuring healthcare remains affordable. It is an exciting time to be part of our Value Based Contracting Team with Aetna committed to growing influence of these model beyond 75% of our total market by 2020. These incentive models reward providers partners for efficient and quality care to our members. We are currently seeking a Medical Economics Consultant for our expanding VBC responsibilities. This opportunity will give broad exposure across various areas of healthcare and senior leadership.

Required Skills:
General Business - Communicating for Impact, General Business - Turning Data into Information, Technology - Leveraging Technology

Desired Skills:
General Business - Demonstrating Business and Industry Acumen, Leadership - Collaborating for Results, Service - Working Across Boundaries

Functional Skills:
Communication - Translating & Interpreting, Finance - Financial analysis, Information Management - Business information analysis

Technology Experience:
Desktop Tool - Microsoft PowerPoint, Desktop Tool - TE Microsoft Excel, Reporting Tool - SAS

Potential Telework Position:
No

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

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