Skip to main content

A new day in healthcare. Together, CVS Health and Aetna help people on their path to better health.

Sr Analytics Consultant

Primary Location: Blue Bell, Pennsylvania
Additional Locations: DC-Washington, MD-Bethesda, PA-Blue Bell, PA-Pittsburgh, VA-Richmond
Apply
Description:
The Plan Sponsor Insights (PSI) team is searching for an experienced customer-facing Analyst to provide consultative analytics for customers that are part of our Aetna One Advocate (A1A) servicemodel. A1A is a high-touch, high-tech advocacy service model that combines data-driven processes with the expertise of highly trained advocates. In this role, the Analyst will use data from various sources to understand our Aetna One Advocate customers’ health plan performance, how programs and strategies have influenced that performance, and ultimately provide solutions and strategies to the customer in a consultative manner.

This role will require in depth and complex analyses and reporting for all customers in the model on both an individual and aggregate level. The primary responsibility within this position is to manage all necessary reporting and proactive descriptive analyses of healthcare cost trends, utilization patterns, and clinical opportunities. These analyses will be used to inform proactive opportunities that will be further explored and analyzed by the Business Management and Data Science teams. The individual will be responsible for ensuring the highest standard of data quality of the information provided as well as coordinating and performing detailed medical cost analysis as needed. The role requires a detailed technical understanding of the Aetna data warehouse and the ability to thoughtfully produce, manipulate and analyze large amounts of data. The role will require creating presentations as necessary and the candidate will need to be able to articulate results in a clear, concise and compelling manner. The individual in this position will work with a cross functional team and will be required to develop a strong partnership with the Aetna One Advocate Business Management Office, the Data Science Team, Aetna Member and Clinical Advocate Team Leaders, Account Teams and the external consultant groups aligned to these customers.

The ideal candidate will have a thorough understanding of the healthcare industry including benefit plans, population health management, strong technical and communication skills and be able to management multiple priorities and deadlines in a face-paced environment.

Fundamental Components:

The primary responsibility within this position is to interpret, analyze and provide strategies related to the overall plan results for a customer. Results may include things such as medical cost, pharmacy cost, clinical programs, population health and disability. This role will require preparing healthcare cost and population health analytics as well as creating reports or presentations as necessary. The analyst will need to be able to articulate results to a wide range of audiences including customers and consultants and must be able to present complex information in a compelling format and manner. The individual in this position may conduct weekly and monthly analytic reviews with a cross functional team and must be able to meet multiple deadlines in a fast paced environment.

The ideal candidate will have a thorough understanding of the healthcare industry including benefit plans, medical management programs, population health and incentive strategies. The candidate must have strong technical and communication skills and be able to work in a face-paced environment and handle multiple priorities. They must maintain up-to-date knowledge of external/industry trends.



Background Experience:
- Business/Industry Knowledge: Minimum of 7-10 years of industry experience interpreting/analyzing all aspects of a customer’s experience (financial results, medical management results, population health, effectiveness of incentive/wellness strategies, etc.). Experience must include using data across the spectrum of a customer’s products/results to tell the story, connect the dots between various strategies and results and ultimately identify, value and communicate areas of opportunity. Must have strong knowledge of claim coding (CPT/DRG, etc.), provider networks, benefit designs, healthcare products/funding, medical management programs and financial acumen.

- Strong communication skills. Able to articulate (verbally and written) complex business results, issues and strategies in a clear, concise and confident manner to all levels and positions of an organization (internal and external).

- Relationship management: Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously.

- Strategic Thinking: Must have demonstrated ability to think strategically in an independent manner and out of the box versus accepting the status quo.

- Technical Skills: Strong technical skills in all Microsoft Office Applications is required with advanced proficiency in Access and Excel preferred. Experience with reporting/analytic applications is preferred with knowledge of SAS programming a plus.

Additional Job Information:
Team leadership and team building skills.
Analytical and planning skills.
Negotiation/influencing skills.
Relationship and change management skills.
Organizational skills.
Time management skills.
Critical thinking skills.
Oral and written communication skills.


Potential Telework Position:
Yes

Percent of Travel Required:
10 - 25%

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 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.

Click To Review Our Benefits (PDF)

Apply

Jobs for you

Recently Viewed Jobs

You do not have any recently viewed jobs

Your Saved Jobs

You do not have any saved jobs

Sign up for Job Alerts

Join our Talent Community

At Aetna, we are pioneering a total approach to health and wellness and we need talented candidates like you to join our team. Become a member of our talent community to be the first to know about career initiatives that match your skills and interests as they become available, in addition to details on upcoming events, networking opportunities, and news about Aetna.

Join Our Talent Community

Sign up to receive information about job openings that are tailored to your skills and interests. Plus, get the latest career news from Aetna.