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SVP, Clinical Operations

Primary Location: Hartford, CT
Additional Locations: CT-Hartford

The Senior Vice President, Corporate Clinical Operations of Aetna is responsible for providing leadership and direction for a team of over 8,000 associates in 13 regional locations to ensure consistent, efficient and impactful delivery of clinical programs for Aetna’s commercial and Medicare populations.

This executive will lead the day to day operational functions ensuring timely and accurate clinically based execution of care management initiatives for markets serving both commercial medical members and Medicare beneficiaries.

Enter Job Description here.

Fundamental Components:

The SVP will demonstrate a proven ability to lead and execute within complex organizations and possess a broad understanding of the health care landscape, customer experience improvement, labor and operations cost management practices and levers, emerging trends and capabilities, as well as investment and funding themes.She/He will be responsible for the following:

·Direct the day-to-day operations for the national clinical services organization for Aetna to foster a common and more current vision of the consumer experience and clinical services business goals. This includes providing leadership and direction for the team to ensure that the organization’s strategic plan is translated into tactical goals and objectives that guarantee performance objectives are met and/or exceeded.

·As a key member of the Transformation Product and Services leadership team, participate in the development of short-term and long-term strategic plans required for Aetna’s and CVS’s ongoing growth and success.Collaborate with the team to reach a shared vision regardingclinical service operations and align the development of the function and respective resources with business growth objectives.

·As a key team member, provide thought leadership in the formation of the strategy that moves Aetna's traditional care management from a telephone approach to the top 5 percent of the population to a more community-based model (including in the home) approach that extends beyond the top 5 percent to the other 95 percent via wellness, digital, and other care plans to address the broader needs of the population.

·Develop and foster strong working relationships and communication at all levels of the organization. Foster an environment of collaboration and communication between key functional areas to ensure timely implementation of new strategies and coordinate implementation of corrective strategies to resolve problems or situations that may arise. Problem-solve issues that are barriers to expected operational results.

·Serve as a focal point between corporate and regional/market clinical operations through leadership and collaborative style.Hold each region's management team accountable for their individual region's performance while serving as an advocate for their needs in the corporate office.

·Develop and regularly communicate key operational metrics that systematically measure performance versus plan against medical costs and trends. Develop a communication channel that acknowledges performance improvement in the organization and the respective impact on employees, members, providers, and other stakeholders.

·Proactively build and maintain solid relationships with the Payer and Provider community by influencing decision making and ensuring quality and satisfaction standards are met.

·Work closely with Aetna clinical teams to assist in designing policies that support the facilitation of care and minimizes administrative burdens for providers, members and Aetna.

·Develop a comprehensive plan designed to address operational improvement opportunities, including a strategy for market-leading performance. Develop short-and long-term goals/objectives with respective timelines and budgetary recommendations.

Background Experience:

The successful candidate will understand and have a commitment to the philosophy, mission, values, and vision of Aetna. This key executive will be able to demonstrate these values with his/her leadership practices. This individual will also possess personal and professional integrity, strong communication skills, and an excellent professional appearance and presentation.

Potential Telework Position:

Percent of Travel Required:
10 - 25%

EEO Statement:
Aetna is an Equal Opportunity, Affirmative Action Employer

Benefit Eligibility:
Benefit eligibility may vary by 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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