Director, DSNP Market Performance (60759BR)Primary Location: New York, New York
Additional Locations: AZ-Phoenix, CA-Los Angeles, CT-Hartford, DC-Washington, FL-Jacksonville, GA-Atlanta, IL-Chicago, MA-Boston, MD-Baltimore, NC-Raleigh, NJ-Princeton, NY-New York, OH-Columbus, PA-Philadelphia, TX-Houston, WA-Seattle Apply
The National DSNP Program Office supports DSNP growth, expansion, strategy, clinical and administrative operations, and overall performance of all DSNPs. This position is focused on supporting overall market performance by collaborating with key enterprise, market and segment leadership to support DSNP growth, expansion, and overall market-based product performance.This position will be responsible for working with enterprise and segment departments and functions that support DSNPs and markets serving as liaison focused on monitoring effectiveness and impact of state strategy, sales, product competitiveness, network, and overall product performance.
To be successful in this position, the candidate must have demonstrated experience in developing DSNP growth strategies, in managing DSNP performance including marketing and sales, state strategy, product development, regulatory requirements, and financial performance.
Monitor and oversee DSNP performance including Marketing and Sales, Network, Product, Market Performance and Regulatory Compliance.
Lead strategic efforts to increase growth and financial performance of DSNPs in multiple states by working with state and product leadership.
Serve as liaison and SME supporting DSNP growth and expansion.
Facilitate development of state specific expansion and growth strategies.
Work with Medicare and Medicaid markets and enterprise functional areas to develop and monitor DSNP targeted expansion, growth, financial performance and member retention strategies.
Work with individual markets to evaluate and monitor product performance including financial, retention, member satisfaction, etc.
Work with marketing and sales, network, member retention, operations, and related operational areas to identify improvement opportunities focused on improving financial outcomes and member and provider engagement and satisfaction.
Serve as marketing and sales, product design, state strategy, and technical, professional and business resource and DSNP subject matter expert to markets, enterprise and segment leadership.
Develop and participate in presentations and consultations to internal and external audiences.
Monitor performance and outcomes of new and established programs and services. Background Experience: Medicare and DSNP experience including state strategy, marketing and sales, product development, member retention, and P&L ownership.
Experience developing, designing and implementing clinical and related operational programs for dual eligible and clinically complex Medicare populations and for understanding Medicare utilization management, Special Needs Plan model of care and care management requirements, and other specialized clinical initiatives.
Experience with Medicaid managed care including managed long-term care services and supports preferred.
Demonstrated experience successfully implementing change in complex organizations.
Demonstrated superior business process, project management and organizational redesign experience.
Additional Job Information: Role will involving working closely with market-based DSNP Program Managers as well as key market-based and enterprise functions. P&L responsibility for DSNP product is owned by the Chief Medicare Officer. Required Skills: Leadership - Anticipating and Innovating, Leadership - Collaborating for Results, Leadership - Driving Strategic and Organizational Agility Desired Skills: Finance - Profit and Quality Vigilance, General Business - Communicating for Impact, Sales - Selling Products and Services Potential Telework Position: Yes 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.
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