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

Medical Economics Consultant

Primary Location: Hartford, CT
Additional Locations: CT-Hartford, IL-Chicago, PA-Harrisburg
This position helps pull analyses to support the Medicare line of business. The candidate will work collaboratively to analyze trends for monthly meetings with Medicare leadership, support analyses to help identify opportunities for trend mitigation actions, and track the progress against targets for SAI's and unit costs.

Fundamental Components:
Produces more complex ad hoc reports to provide trend information to Medicare leadership and market teams. Supports the development of scoreable action items by identifying outlier cost issues, providing ad hoc analysis and generating ideas for moderation of trend increases. Involved in the tracking of SAI's and Unit Cost improvements versus targets.

Background Experience:
Demonstrates initiative, innovation and leadership in achieving results. Demonstrates critical thinking and expresses ideas clearly, concisely and logically from a cross functional perspective. Advanced skills in Excel, MS-Access and Web-based query tools (MCM, data warehouse). Ability to learn new technologies. Minimum of 2-5 years’ experience in the managed care industry with knowledge of provider contracting, provider reimbursement, patient management, product and benefits design. Strong analytical ability and familiarity with advanced financial and healthcare concepts. Ability to manage conflicting priorities and multiple projects concurrently. Bachelor's Degree in Business, Finance, Mathematics or related field preferred or 2 to 4 years equivalent work experience in the healthcare industry.

Required Skills:
General Business - Applying Reasoned Judgment, General Business - Communicating for Impact, General Business - Turning Data into Information

Desired Skills:
General Business - Demonstrating Business and Industry Acumen, General Business - Maximizing Work Practices, Leadership - Collaborating for Results

Functional Skills:
Information Management - Medical economics, Information Management - Provides analysis and support for planning and forecasting of medical costs

Technology Experience:
Aetna Application - Enterprise Data Warehouse, Desktop Tool - TE Microsoft Excel, Reporting Tool - SAS

Potential Telework Position:

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 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)


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