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Business Program Manager - DSNP

Primary Location: New Albany, Ohio
Additional Locations: OH-New Albany
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Description:
The Dual Eligible Special Needs Plan (DSNP) Program Manager reports to the Market Director of Operations and is responsible for all aspects of the DSNPs in the assigned markets by working collaboratively with the local market, enterprise functions and the National DSNP Program Office. This includes oversight, management, and coordination of all operational elements.


Fundamental Components:
This key role will be the business owner for this growing program in the market working with the National DSNP Program Office, connecting and aligning functional areas, with Medicaid as appropriate and enhancing collaboration to assure success. Responsible for product design, developing growth goals and maintaining financial performance. Will support the local market sales team and driving membership growth through the development of training and community relationships/activation. Coordinates with business partners to oversee provider network structure, quality, clinical outcomes and care management delivery. Develops opportunities to drive Star ratings performance and a positive member experience.

Background Experience:
10+ years managed care / health insurance industry experience. 3-5 years experience with Dual Special Needs Plan and/or a Medicaid managed care program that includes duals and DSNPs. Multiple years proven leadership experience setting strategic direction and influencing change that resulted in quantifiable positive outcomes. Proven record of accomplishment managing complex projects and or programs that resulted in cost savings and working in a complex matrixed organization. Experience working with external healthcare providers or health systems Experience managing large budgets. Project management experience. Supervisory experience. Demonstrated negotiation skills.



Additional Job Information:
Ability to communicate effectively with management.

Required Skills:
General Business - Demonstrating Business and Industry Acumen, General Business - Ensuring Project Discipline, Leadership - Developing and Executing Strategy

Desired Skills:
Benefits Management - Promoting Health Information Technology, Leadership - Driving Change, Service - Handling Service Challenges

Functional Skills:
Administration / Operation - Management: < 25 employees, General Management - Data analysis & interpretation, Management - Management - Product development

Potential Telework Position:
No

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.

Click To Review Our Benefits (PDF)

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