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Sr. Clinical Solutions MD (Behavioral Health)

Primary Location: Phoenix, Arizona
Additional Locations: AZ-Phoenix
Position Summary:

The Senior Clinical Solutions Behavioral Health Medical Director, reporting to the VP/CMO of Medicaid, will collaborate with Aetna National Medicaid, Regional VP and health plan leadership to identify, develop, implement, and evaluate the effectiveness of key behavioral health strategic initiatives including trends, policies and programs, designed to drive the delivery of high value healthcare supporting a sustainable competitive business advantage for Aetna.

In this role, the selected individual will Partner with our internal stakeholders to advocate, promote and champion the vision and values that suffuse our model of care; identify cross-functional interdependencies and operational efficiencies in areas of behavioral health utilization, care and quality management.

The selected individual will serve as the behavioral health brand ambassador to key stakeholders. This position will support new business development opportunities through development of response for request for proposals; meeting and collaboration with stakeholders nationally and local state markets to provider initiatives to community wide forums open to advocates, and community-based organizations; and networking with “thought-leaders” nationally and bringing innovations to Aetna Medicaid.

Work At Home Position if not located in Phoenix, AZ.

Key areas of responsibility include but not limited to:
Creating and implementing behavioral health strategy including vision and goal setting, team growth, value capture, and operational excellence
Providing behavioral health expertise and influence across teams as well as externally to ensure aligned, cohesive progress across technology, marketing and service operations
Working closely with data analytics team and develops specific actions to manage behavioral health and medical cost trends
Educating and enhancing relationships within the provider community, including individual providers and groups

2-3 years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry.

The highest level of education desired for candidates in this position is a MD or DO.

Active unrestricted state medical license required
Board Certification in Aetna recognized specialty required

Functional - Leadership/Act as company spokesperson to external constituents/1-3 Years
Functional - Medical Management/Medical Management - Clinical coverage and policies/1-3 Years
Functional - Medical Management/Medical Management - Quality Management/1-3 Years
Functional - Communications/Communication Development - Executive level presentations/1-3 Years

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Technical - Desktop Tools/Microsoft Word/1-3 Years/End User
Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User

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.

Fundamental Components:

Background Experience:

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. Click here to review the benefits associated with this position.

Candidate Privacy Information:
Recruiter please complete this section

Click To Review Our Benefits (PDF)


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