Clinical Program Consultant (National Accounts Northeast Market) (60926BR)Primary Location: Boston, Massachusetts
Additional Locations: CT-Hartford, MA-Boston, NJ-Princeton Apply
Excellent opportunity for an experienced clinician with a passion for consulting to leverage clinical, analytic and consultative skills to join our team of Clinical Program Consultants (CPC) who offer clinical insights and solutions to help improve health plan performance for our plan sponsors. Highly collaborative position and professional environment working with account teams and customers, Aetna's clinical operation teams and our Plan Sponsor Insights team of consultants.
Clinical Program Consultants are key members of the Plan Sponsor Insights (PSI) business - a business focused on providing insights and solutions based on analytics to customers in the group commercial business. The work environment supports and thrives on out-of-the box thinking, creative talent and a consultative approach. Our team is highly valued by our internal partners as well as the customers we serve.
Recommend clinical programs and services that align with the customer's strategy
and help drive short and long term results
Develop and present clinical content and recommendations in customer facing
Act as a trusted clinical resource providing clinical program guidance
Collaborate across the enterprise and with clinical operations
Provide input to the design of clinical solutions
Stay current on, and share knowledge of, population health trends
- 5+ years clinical experience including hospital, clinic, and/or community health; Preferred
- Registered Nurse (RN) License ; Required
- 1+ years of Healthcare Consultation Experience working with External Constituents; Required
- 1+ years Leadership experience; Preferred
- Experience working with a Health Insurance Carrier Strong problem solving skills and attention to detail.
- Strong clinical analytic skills and demonstrated conceptual thinking
- 1+ years of experience in, and knowledge of, the healthcare industry and market; Required
- 1+ years experience with medical management products, programs and services; Required
- Excellent consultative, communication and presentation skills(ability to take complex content and facilitate understanding for the audience).
- Ability to establish highly collaborative relationships within and outside the organization
Eligible for telework Opportunity if within an hour from an Aetna office in CT, NJ, or MA, with the expectation to come into the office as needed. This role requires travel that can peak at certain times throughout the year; estimated at least 25% travel
If candidate is not currently WELCOA certified they will need to complete this certification once in the role.
Required Skills: Benefits Management - Understanding Clinical Impacts, General Business - Communicating for Impact, General Business - Consulting for Solutions, General Business - Demonstrating Business and Industry Acumen, General Business - Turning Data into Information Desired Skills: Leadership - Anticipating and Innovating, Leadership - Collaborating for Results, Leadership - Driving Change Functional Skills: Clinical / Medical - Consultative informatics, Clinical / Medical - Disease management, Clinical / Medical - Sales, Leadership - Act as company spokesperson to external constituents, Medical Management - Medical Management - Case Management Technology Experience: Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft PowerPoint, Desktop Tool - Microsoft Word, Desktop Tool - TE Microsoft Excel Education: Nursing - Registered Nurse (RN) Potential Telework Position: Yes Percent of Travel Required: 25 - 50% 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.
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