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Aetna is now a CVS Health Company

Sr Dir, Network/Core Medical Product

Primary Location: Hartford, CT
Additional Locations: CT-Hartford, DC-Washington, GA-Atlanta, MA-Wellesley, NY-New York, VA-McLean
A critical component of Aetna’s commercial product strategy is to build products that enable Aetna commercial members to find, access, use and afford appropriate care. The Head and Sr Director, Network Product & Core Medical Product Management leads the team that is responsible for delivering this vision by building national insurance & network products that meet the needs of modern employees, at a compelling price point for employers.

The Head and Sr Director, Network Product & Core Medical Product Management will deliver a combined national network, core medical and plan design strategy & roadmap that includes our core medical product lines (PPO/HMO/EPO/POS) and performance network products (e.g., Aetna Premier Care Network). He/ she will lead overarching portfolio management, including rationalization, as well as new plan design innovation. He/she will also identify ways to build new products around holistic and innovative network arrangements. Finally, he/she will ensure that plan design supports and is aligned to new enterprise capabilities (e.g., CVS, Well-being & Clinical programs).

The Sr Director will build metrics-based goals for the product roadmap, as well as goals for each product line, with a key focus on membership growth, quality and savings.

Under the Sr Director’s leadership, the network product management team partners with local markets to ensure the national strategy translates to the local markets, and vice versa. The team will do this by optimizing network/product strategy & performance, rationalizing network products, aligning to targeted growth geographies and understanding the drivers of product performance, including network competitiveness.

The Sr Director is a key member of the Commercial Product & Solutions Management leadership team. He / she will be an integral partner to our Network organization with a dotted line reporting relationship to the SVP, Network Strategy and Provider Experience. In order to be effective, the Sr Director and his/her team must partner across other product teams to influence and align new product initiatives, as well as work cross-functionally across a highly matrixed environment, including, Sales, Marketing, Services, Actuarial, Finance, Legal (and others).

With an eye toward differentiated growth and innovation, this leader must attract and retain talent with diverse skills and backgrounds.

Fundamental Components:
  • Ownership of existing portfolio of network & core medical products
  • Responsible for overall portfolio performance and strategic direction, including a relentless focus on customer needs and market opportunity
  • Rationalizes portfolio and sunsets products
  • Partner with Network and Local Markets to translate business strategy into product requirements
  • Serves as a product expert across the enterprise by collaborating across leadership levels
  • Leads product ideation and conceptualization efforts, working in close partnership with other business areas by leveraging in-depth knowledge and understanding of market trends, customer needs/expectations, and internal capabilities
  • Brings new product concepts through the product development process, from ideation to launch
  • Oversees business case development, partnering with key cross-functional partners, including Finance, Actuarial, UW and other teams on pricing and product economics to ensure financial feasibility, maximize growth and improve profitability
  • Recruit, hire and build effective teams that demonstrate strong product management skill sets

Background Experience:
  • Bachelor's degree required; MBA preferred
  • 10+ years’ experience in a leadership capacity managing strategic product or network functionality
  • 10+ years of healthcare, at-risk managed care experience
  • 5+ years working in a matrix organization
  • Product development and/or management experience preferred

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:
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.

Click To Review Our Benefits (PDF)


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