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Sr. Program Manager - Dual Special Needs

Primary Location: Parsippany, New Jersey
Additional Locations: NJ-Parsippany
The DSNP Program Manager is responsible on a dotted line basis for all aspects of Medicare Advantage Duals Special Needs Plans in assigned markets. This includes oversight, management, coordination of membership, sales, community relationships/activation, provider network, clinical outcomes, financial performance, quality and member experience. Works collaboratively with market based functions, enterprise functions, Medicare and Medicaid corporate functions and the National DSNP Program Office

Fundamental Components:
Manages and coordinates all aspects of Medicare Advantage Duals Special Needs Plans. This key role will be the business owner for this growing program working with and through the National DSNP Program Office, connecting and aligning functional areas, with Medicaid as appropriate and enhancing collaboration to assure success. Responsible for sales and membership growth, marketing and sales team guidance and support including the development of training, community relationships/activation, provider network structure, quality, clinical outcomes and care management delivery, Star ratings, member experience, product design, and financial performance.

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. Bachelor's degree. Master's preferred.

The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

General Business/Demonstrating Business and Industry Acumen/MASTERY

Highly visible role in Aetna's priority growth area. Exposure to internal and external leaders with strong growth potential as the business expands.Prior experience with Medicare Advantage and Dual Special Needs Plans

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Aetna takes our candidates'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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