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A new day in healthcare. Together, CVS Health and Aetna help people on their path to better health.

RN Program Manager

Primary Location: Princeton, New Jersey
Additional Locations: NJ-Princeton
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Description:

This is a full time work from home position. Candidates must reside in the Princeton, NJ area.


Works with assigned Aetna Medicare Provider Collaboration groups to drive improved performance by leading clinical performance improvement projects and managing multiple complex deliverables through to implementation. This position will focus on Provider Collaboration arrangements. Projects will support population health and will primarily impact Stars and quality but may also focus on improvements in utilization and costs.



Fundamental Components:


The RN Program Manager works to drive clinical performance of
assigned Provider Collaboration groups by: -Establishing trusting
relationship with provider partners to promote open communication -Serving as
clinical expert on actionable opportunities related to CM, gap closure,
workflow discussions, and partnering with case manager supervisor/manager and
CMs -Serving as internal and external liaison and clinical resource,
interpreting data and educating regarding how to utilize data for PC
performance improvement -Strategizing with SME’s and clinical teams both
internally and externally to drive outcomes and improve efficiencies
-Coordinating and conducting clinically focused meetings to identify
opportunities target and prioritize goals and interventions to close gaps in
care and achieve optimal stars performance -Collaboratively working 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. -Collaborating with Engagement Managers, Local Market Team,
Data Team, Medical Operations and others on initiatives for Stars/quality
improvement.







Background Experience:
Proven project management skills.
Experience includes development and management of multiple budgets related to various projects and or program.
Proven negotiation skills.
Proven track record in meeting project milestones and negotiating for resources.
BS/BA or equivalent experience and 8-10 years of experience related to standards & measurements, technology, systems and processes, including project consultation preferred.













Strong communication and interpersonal skills Proven track
record in meeting project milestones and negotiating for resources. Proven
negotiation skills. Proven project management skills. Proven success while
working in a matrixed environment Supervisory or leadership experience






Additional Job Information:
This
position will support the development and implementation of new care models
supporting value based arrangements. 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. 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.


Desired Skills:
Leadership - Creating Accountability, Leadership - Developing and Executing Strategy, Leadership - Driving Change

Functional Skills:
Medical Management - Medical Management - Managed Care/Insurance Clinical Staff, Nursing - Case Management, Nursing - Medical-Surgical Care

Technology Experience:
Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft PowerPoint, Desktop Tool - Microsoft SharePoint, Desktop Tool - TE Microsoft Excel

Education:
Nursing - Registered Nurse (RN)

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

Click To Review Our Benefits (PDF)

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