Sr Director, DSNP Clinical Strategic Planning (57430BR)Primary Location: Blue Bell, Pennsylvania
Additional Locations: NY-Albany, PA-Blue Bell Apply
To be successful in this position, the candidate must have demonstrated experience with designing and implementing clinical and related operational programs for dual eligible and clinically complex Medicare populations and for understanding Medicare utilization management, Special Needs Plan model of care and care management requirements, and other specialized clinical initiatives. Lead strategic integration and ongoing enhancement of clinical programs and initiatives and utilization management for DSNP members including social determinants of health. Serve as liaison + clinical leader supporting the advancement of clinical programs and services to support DSNP performance and enhancing overall capabilities to manage complex populations. Work with clinical and related operational areas to identify improvement opportunities
- Serve as liaison and clinical leader supporting the advancement of clinical programs and services to support DSNP performance and enhancing overall capabilities to manage complex populations
- Work with clinical and related operational areas to identify improvement opportunities
- Ability to synthesize program performance and clinical outcomes
- Demonstrated experience successfully implementing change in complex organizations
- Demonstrated superior business process, project management and organizational redesign experience
- Registered Nurse (Masters preferred)
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse (RN) is desired
Functional - Medical Management/Medical Management - Administration/Management/4-6 Years
Functional - Leadership/Lead a complex or multifunctional organization/7-10 Years
Functional - Nursing/Case Management/7-10 Years
Functional - Management/Management - Medicare/7-10 Years
Functional - General Management/Process & quality improvement/7-10 Years
Full-Time Telework (WAH)
ADDITIONAL JOB INFORMATION
Opportunity to be part of new national office and work across the enterprise, markets and business units. New position as clinical strategy and innovation lead that spans quality, utilization management, clinical programs and services, member experience, network and care management
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 candidates'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.
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.