SAI ManagementPrimary Location: Chicago, Illinois
Additional Locations: IL-Chicago Apply
Responsible for identifying, executing and monitoring trendmitigating initiatives across local network and medical management operationsfor the Great Lakes market.
Project Management responsibility for the end to end processrelated to opportunity ideation and discovery, validation and analyticssupporting all commercial and Medicare business segments.
Collaborates with Network, Medical Management, MEU , Financeand Actuarial teams in the Great Lakes to convert insights into data that isactionable.
Educates business and technical resources on purpose andvalue of quality and cost metrics and assists in interpretation to solveproblems and improve outcomes
Monitors market level metrics and performance forutilization, market level medical cost, premiums, financial results, etc. toidentify trends
Coordinates tracking and execution of trend mitigating actionitems in collaboration with Network Management, Medical Management and MedicalEconomics Unit (MEU)
Responsible for supporting the network leader through thenetwork strategy development process by leveraging network design tools
Provides insights to Network Management team to help informnetwork strategy based on insights and observations
Supports Medical Economics Review process on behalf of LocalNetwork team
Ability to effectively communicate and negotiate across thebusiness and in the external health care environment.
Provides leadership in negotiation support and ability toinfluence sound business decisions based on data, results and informationderived from industry trends, research findings, and Aetna-specific reports andanalyses
5+ years’ experience in healthcare analytics role.
Deep knowledge of health care industry, policy, researchdesign, statistical analyses, predictive modeling, provider reimbursementmethods, case-mix and risk adjustment methods and tools
Demonstrated experience developing analysis, presentationsand support material to successfully implement strategy or change initiatives.
Demonstrated relationship management skills at peer levelswithin an organization and external constituents
Advanced technical, analytic and consultative skills,extensive knowledge of health care data and information systems, as well as anunderstanding of health care benefits, health care financing and health caredelivery systems
Advanced proficiency in excel and power point
The highest level of education desired for candidates inthis position is a Bachelor's degree or equivalent experience.
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
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.