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Business Project Manager

Primary Location: San Diego, CA
Additional Locations: CA-San Diego
Leads the work and deliverables of multiple, complex projects or programs, through to implementation, that impact multiple processes, systems, functions and products. Length of project may run multiple years in duration.

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. Leads all project 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 financial implications of projects and/or program budgets. Assists others to identify solutions to issues that negatively impact program and/or project plan.

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.

Additional Job Information:
Ability to communicate effectively with all levels of management. Proven ability to satisfy customers needs and develop alternatives to resolve issues.

Day to day responsibilities will include reviewing DHCS and DMHC program requirements, changes in program and policies coming through All Plan Letters (frequency has increased significantly) and collaboratively work across multiple functions to develop plans and execute with SMEs with impacted parties; compiling responses to provide feedback to DHCS/DMHC (working in conjunction with Compliance Department) and to trade association (CAHP). Coordinating and attending the activities and requirements of Medi-Cal Healthier California for All, formally known as CalAIM, calls for significant Plan engagement and assisting with interpretations of requirements and assisting with compiling deliverables for this initiative. Also assist the senior team in compiling information, data and presentations to Medicaid segment and higher.

Candidate will need to have a thorough understanding of MCO operations from an end to end perspective.

Required Skills:
General Business - Ensuring Project Discipline, General Business - Turning Data into Information, Leadership - Collaborating for Results

Desired Skills:
Leadership - Collaborating for Results, Leadership - Developing and Executing Strategy

Functional Skills:
Management - Management - Health Care Delivery

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.

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.


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