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

Sr Business Consultant

Primary Location: Santa Ana, California
Additional Locations: CA-Santa Ana
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Description:
POSITION SUMMARY:

Overall accountability for the success of assigned value based provider relationships (VBC), including strategic alignment, reference ability, deliverables, and financial and operational success, as measured by both the VBC and by Aetna. Influences and/or manages internal cross-functional groups such as implementation, support, reporting, and enablement, as well as the external client relationships to ensure optimal implementation and performance. Responsible for leading all value-based performance aspects of the engagement/VBC relationship with a team of highly matrixed cross-functional resources. Works with the VBCs executive leadership to ensure financial, technology, clinical, and operational goals are achieved. Responsible for coordinating the development and execution of an annual strategic business plan with Aetna Network Management and each VBC to exceed financial and other appropriate targets. This is a Client facing position with Providers/Brokers.

Fundamental Components:

Develops a mutually beneficial working relationship with various VBCs by consulting on the opportunities, operational design, and implementation of the business strategy while promoting the objectives of improving health care outcomes and increasing patient quality and value. Executes the strategic vision and tone for the VBC relationship and carries out the operational plan to execute that strategy. Seeks to optimize VBC interaction, anticipating VBC needs and acting as the voice of the VBC internally, providing recommendations based on VBC needs. Defines, organizes, influences, and/or leads a team of various internal, and external resources to implement newly negotiated arrangements; ensuring a smooth transition into the intricacies and requirements of the new relationship Collaborates cross-functionally to monitor and optimize VBC performance including clinical, quality, capabilities, and growth as well as financial goals. Looks for ways to enhance the solution within the assigned VBCs to include identifying new functionality, programs, products, services and technology to ensure better outcomes and achievement of program objectives. Has ultimate accountability for the VBC related engagement management services being delivered

BACKGROUND/EXPERIENCE desired
:
7+ years experience with several of the following methodologies: management consulting, project consulting, business process consulting, financial strategic analysis, mergers and acquisitions, strategic business planning, and/or risk management consulting.
Experience with enterprise-wide and/or cross-functional large scale initiatives with high degree of complexity.
Demonstrated experience successfully implementing change in complex organizations.
Demonstrated superior business process, project management and organizational redesign experience.
Demonstrated leadership with relevant initiatives: Business process, enterprise business project management/consulting, financial strategic planning and analysis, mergers and acquisitions, strategic planning, risk management.
Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously.

EDUCATION:

The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

FUNCTIONAL EXPERIENCES:
Medical Management/Medical Management - Hospital/1-3 Years
Network Management/Contract negotiation/1-3 Years
Clinical / Medical/Quality management/1-3 Years
Quality Management/Quality Management/1-3 Years


TECHNOLOGY EXPERIENCES:

Desktop Tools/Microsoft Outlook/1-3 Years/End User
Desktop Tools/Microsoft PowerPoint/1-3 Years/End User
Desktop Tools/Microsoft SharePoint/1-3 Years/End User


REQUIRED SKILLS:

General Business/Applying Reasoned Judgment
General Business/Communicating for Impact
Leadership/Developing and Executing Strateg


DESIRED SKILLS:

Leadership/Driving a Culture of Compliance
Service/Improving constituent-focused Processes
Technology/Justifying the Business Case


ADDITIONAL JOB INFORMATION:

Designs enterprise wide and/or cross-functional solutions to address business problems. This work results in initiatives that significantly impact company strategy enabling Aetna to be competitive in the marketplace and effectively serve its customers. Partners with business owners to optimize the achievement of strategic business objectives, to include profitable growth and improved organizational effectiveness. (Focus includes one or more of the following disciplines: management consulting, business process/project consulting, financial strategic analysis, mergers and acquisitions, strategic business planning, and, or risk management consulting.)

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:
Fundamental Components:

Develops a mutually beneficial working relationship with various VBCs by consulting on the opportunities, operational design, and implementation of the business strategy while promoting the objectives of improving health care outcomes and increasing patient quality and value. Executes the strategic vision and tone for the VBC relationship and carries out the operational plan to execute that strategy. Seeks to optimize VBC interaction, anticipating VBC needs and acting as the voice of the VBC internally, providing recommendations based on VBC needs. Defines, organizes, influences, and/or leads a team of various internal, and external resources to implement newly negotiated arrangements; ensuring a smooth transition into the intricacies and requirements of the new relationship Collaborates cross-functionally to monitor and optimize VBC performance including clinical, quality, capabilities, and growth as well as financial goals. Looks for ways to enhance the solution within the assigned VBCs to include identifying new functionality, programs, products, services and technology to ensure better outcomes and achievement of program objectives. Has ultimate accountability for the VBC related engagement management services being delivered


Background Experience:
BACKGROUND/EXPERIENCE desired
:
7+ years experience with several of the following methodologies: management consulting, project consulting, business process consulting, financial strategic analysis, mergers and acquisitions, strategic business planning, and/or risk management consulting.
Experience with enterprise-wide and/or cross-functional large scale initiatives with high degree of complexity.
Demonstrated experience successfully implementing change in complex organizations.
Demonstrated superior business process, project management and organizational redesign experience.
Demonstrated leadership with relevant initiatives: Business process, enterprise business project management/consulting, financial strategic planning and analysis, mergers and acquisitions, strategic planning, risk management.
Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously.


Potential Telework Position:
No

Percent of Travel Required:
50 - 75%

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:
*

Click To Review Our Benefits (PDF)

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