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Director, Medicare Star Ratings

Primary Location: Hartford, CT
Additional Locations: AZ-Phoenix, CT-Hartford
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Description:
Designs conceptual models to approach complex business problems whose impact often results in significant degree of change to the organization. Accountable for contracting, initiative planning, business results and ongoing client relationship management and satisfaction for large scale, high value initiatives impacting the delivery of products and services to the internal and external environment (See Family Summary). Responsible for providing oversight and supervision to external vendors, external consultants, consulting team members and/or matrixed staff as required in support of initiatives. Accountable for transferring knowledge, best practices (external and internal), methodology and tools to client organizations. May be responsible for concurrent initiatives as team lead and/or team member, based on resource requirements.

THIS POSITION CAN BE LOCATED IN ANY STATE

Fundamental Components:
Drives or guides development of holistic solutions and/or key strategic plans. Proactively identifies opportunities for improvement and independently influences business leader(s) including the most senior level, to act or change behavior through complex negotiations and/or expert consultation that promotes issue resolution. Communicates compelling and concise results to empower business owner in decision making process regarding project opportunities. Conducts thorough business case and external customer value analysis to determine selection, prioritization positioning and approach for broadest range of potential solutions (e.g., outsourcing, process improvements, technology solutions)Drives client contracting process, builds optimal influential client relationship for results and deliverables and manages relationship throughout engagement. Fully integrates baseline and metrics tracking into initiative planning and execution for optimal results. Shares joint accountability for initiative’s return on investment. Provides management guidance and oversight in the selection and use of long term external consulting engagements. Provides continuous coaching, direction, feedback and development for other consultants, matrixed staff and/or external vendors as required. Assignment may require formal supervisory role. Drives or guides engagement using a disciplined repeatable methodology. Provides oversight to or drives initiative planning as required. Designs, develops interventions and facilitates work sessions. Develops and delivers all required analysis, reporting and presentation materials. Gathers, analyzes and synthesizes competitive intelligence to drive achievement of strategic business objectives.

Background Experience:
  • Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously.
  • 5 plus years of Medicare experience (STARS experience preferred)
  • Demonstrated leadership with relevant initiatives: Business process, enterprise business project management/consulting, financial strategic planning and analysis, mergers and acquisitions, strategic planning, risk management.
  • Superior business process, project management and organizational redesign experience.
  • Experience successfully implementing change in complex organizations.
  • Experience with enterprise-wide and/or cross-functional large scale initiatives with high degree of complexity.
  • 10+ years experience with several of the following methodologies: management consulting, project consulting, business process consulting, financial strategic analysis, strategic business planning, and/or risk management consulting.
  • Masters degree preferred, but not required.College degree.Appropriate licensure or certification by discipline preferred.


Additional Job Information:
Team leadership and team building skills.Analytical and planning skills.Negotiation/influencing skills.Relationship and change management skills.Organizational skills.Time management skills.Critical thinking skills.Oral and written communication skills.

Required Skills:
Leadership - Collaborating for Results, Leadership - Developing and Executing Strategy, Leadership - Driving Change

Functional Skills:
Communication - Communication Development - Executive level presentations, General Management - Data analysis & interpretation, Leadership - Lead a complex or multifunctional organization, Leadership - Lead significant enterprise-wide initiative

Potential Telework Position:
Yes

Percent of Travel Required:
10 - 25%

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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