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Aetna is now a CVS Health Company

SMI Services Administrator

Primary Location: Phoenix, AZ
Additional Locations: AZ-Phoenix
The SMI Services Administrator is a supervisory position responsible for the oversight of outpatient behavioral health services for members with a SMI determination serving roughly 30,000 members. This position oversees the SMI clinic network, which consists of behavior health homes, integrated and virtual health homes and outpatient providers offering additional covered services to members. Additionally, the position provides oversight regarding the Arnold versus ADHS litigation post exit stipulation as it relates to Assertive Community Treatment and ensuring adherence to contractual requirements for the Regional Behavior Health Authority with the regulator. The SMI Services Administrator is accountable for and must manage the development, implementation and ongoing maintenance of projects inclusive of internal and external deliverables and interfacing with various departments within the health plan such as finance, contracts, value-based analytics, grievance and appeals.

Fundamental Components:
Develops and implements strategic business plan to achieve business goals. Proactively leads a program and/or most complex projects by setting strategic direction. Identifies gaps and recommends enhancements related to new and/or existing products, services and workflows based on broad view of the organization. Collaborates and partners with other functional managers, other business areas across/within segments or other business areas to ensure all workflow processes and interdependencies are identified and addressed. Consults with constituents (these may be internal and/or external) to scope/define project. Influences change in order to improve performance results, organization effectiveness and/or systems/quality/services. Obtains financial support for most complex projects or supports this work as it relates to program management. Collaboratively works across multiple functions and /or segments to obtain agreement from all impacted parties (e.g., up and downstream effects often impact multiple functions and/or segments. Responsible for development and implementation of new ideas that supports work/team. Cross function/segment group facilitation/presentation. Typically manages staff. Management of staff accountabilities: - Oversees all projects and or program management work including monitoring and tracking of progress and status update communications. - Responsible for resource utilization within and across work teams. - Responsible for the unit budgets and/or financial implications of project and or program. - Assists others to identify solutions to issues that negatively impact program and or project plan.

Background Experience:
Proven track record meeting project dates and negotiating for resources. Prior positions that required setting team direction. Demonstrated negotiation skills. Experience developing and managing multiple budgets for various projects and/or programs. 8-10 years experience related to standards & measurements, technology, systems, processes including project consultation. Project management experience. Supervisory experience. Bachelor's degree or equivalent experience.

Additional Job Information:
Ability to communicate effectively with management.

Required Skills:
General Business - Communicating for Impact, General Business - Turning Data into Information, Leadership - Collaborating for Results

Desired Skills:
General Business - Applying Reasoned Judgment, General Business - Consulting for Solutions, Leadership - Anticipating and Innovating, Service - Managing Organizational Dynamics

Functional Skills:
General Management - Project management (non-IT), Leadership - Lead a complex or multifunctional organization, Management - Management - Provider Data, Planning - Strategic

Technology Experience:
Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft SharePoint, Desktop Tool - TE Microsoft Excel, Operating System - Windows

Potential Telework Position:

Percent of Travel Required:
0 - 10%

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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