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Clinical Solutions Medical Director

Primary Location: New York, NY
Additional Locations: CO-Denver, CO-Lakewood, IA-Cedar Rapids, IL-Chicago, IL-Downers Grove, IL-Rockford, IN-Ft Wayne, IN-Indianapolis, KS-Dodge City, KS-Overland Park, MI-Detroit, MI-Lansing, MI-Southfield, MN-Minneapolis, MS-Ridgeland, NJ-Cherry Hill, NJ-Jersey City, NY-New York, OH-Cincinnati, OH-Columbus, OH-Toledo, OH-Westlake, WI-Waukesha
The Clinical Solutions Medical Director will support Group Medicare Sales and Retention. Provide support for Medicare account teams to grow business and retain existing business. Works in close alignment with care management teams and matrixed medical management for a region or segment.

Fundamental Components:
Overall accountability and responsibility for Medicare Group Sales Clinical Activities.

Provide support and assistance along with other team members to Medicare sales and account management teams to grow and retain the group business.

Provide guidance to the regional care management teams and matrix medical management support teams to achieve utilization management goals.

Support MDCR Sales and Account management teams to grow and maintain business.

Responsible for meeting utilization goals and collaborates with internal partners.

Background Experience:
3-5 years of experience in the health care delivery system e.g., clinical practice and health care industry.

Demonstrated ability to make strategic decisions based on a thorough understanding of industry issues, trends and the regulatory landscape.

Create business strategy to drive competitive advantage and shift direction as market conditions dictate; interact with external constituents.

Additional Job Information:
Exceptional oral and written communication skills. Demonstrated leadership qualities that inspire and develop others. Commitment to coaching and collaborating. Demonstrated transformation/change management skills and experience. Demonstrated comfort with rapidly changing technology for engagement and analytics

Desired Skills:
Benefits Management - Interacting with Medical Professionals, Leadership - Developing and Executing Strategy

Functional Skills:
Clinical / Medical - Concurrent review / discharge planning, Clinical / Medical - Direct patient care (hospital, private practice), Clinical / Medical - Precertification

Technology Experience:
Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft PowerPoint, Desktop Tool - Microsoft Word

Medical - Board Certified, American Academy Of Family Phy, Medical - Board Certified, American Board Of Internal Medicine, Medical - Board Of Medical Examiners

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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