SAI ManagementPrimary Location: Seattle, Washington
Additional Locations: ID-Boise, OR-Portland, WA-Seattle Apply
Responsible for identifying, executing and monitoring trend mitigating initiatives across local network and medical management operations for the PNW market.
Project Management responsibilityfor the end to end process related to opportunity ideation and discovery,validation and analytics supporting all commercial and Medicare business segments.
Collaborates with Network, Medical Management, MEU, Finance andActuarial teams in the PNW to convert insights into data that is actionable.
Educates business and technical
resources on purpose and value of quality and cost metrics and assists in
interpretation to solve problems and improve outcomes
Monitors market level metrics and
performance for utilization, market level medical cost, premiums, financial
results, etc. to identify trends
Coordinates tracking and execution
of trend mitigating action items in collaboration with Network Management,
Medical Management and Medical Economics Unit (MEU)
Responsible for supporting the
network leader through the network strategy development process by leveraging
network design tools
Provides insights to Network
Management team to help inform network strategy based on insights and
Supports Medical Economics Review
process on behalf of Local Network team
Ability to effectively communicate
and negotiate across the business and in the external health care environment.
Provides leadership in negotiation
support and ability to influence sound business decisions based on data,
results and information derived from industry trends, research findings, and
Aetna-specific reports and analyses
5+ years’ experience in healthcare
Deep knowledge of health care
industry, policy, research design, statistical analyses, predictive modeling,
provider reimbursement methods, case-mix and risk adjustment methods and tools
Demonstrated experience developing
analysis, presentations and support material to successfully implement strategy
or change initiatives.
management skills at peer levels within an organization and external
Advanced technical, analytic and
consultative skills, extensive knowledge of health care data and information
systems, as well as an understanding of health care benefits, health care
financing and health care delivery systems
Advanced proficiency in excel and
Potential Telework Position: Yes 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.
Jobs for you
Recently Viewed Jobs
You do not have any recently viewed jobs
Your Saved Jobs
You do not have any saved jobs
Sign up for Job Alerts
Join our Talent Community
At Aetna, we are pioneering a total approach to health and wellness and we need talented candidates like you to join our team. Become a member of our talent community to be the first to know about career initiatives that match your skills and interests as they become available, in addition to details on upcoming events, networking opportunities, and news about Aetna.
Join Our Talent Community
Sign up to receive information about job openings that are tailored to your skills and interests. Plus, get the latest career news from Aetna.