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

Senior Program Manager - Clinical Platform

Primary Location: Wellesley, Massachusetts
Additional Locations: CT-Hartford, MA-Wellesley, NY-New York
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Description:
POSITION SUMMARY
Program Manager responsible for defining and implementing a Utilization Management (UM) solution on the new Clinical Platform that will achieve UM operational imperatives and the defined program business case.

Fundamental Components:
- Lead interactions with UM Operations to define and implement a solution on the clinical platform that will meet UM imperatives and strategic vision.
- Oversee Utilization Management optimization initiatives, including coordination and management of external vendor.
- Understand business case and develop roadmap for achieving defined outcomes.
- Identify and manage issues, escalating to the program lead where necessary


BACKGROUND/EXPERIENCE desired:
10+ years managed care / health insurance industry experience, Utilization Management experience nice to have.
Multiple years proven leadership experience setting strategic direction and influencing change that resulted in quantifiable positive outcomes.

Proven track record managing complex projects and or programs that resulted in cost savings, including projects involving an external vendor.

Experience implementing projects using Agile methodology.
Supervisory experience.

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

REQUIRED SKILLS
Leadership/Developing and Executing Strategy/MASTERY
Leadership/Anticipating and Innovating/MASTERY
General Business/Demonstrating Business and Industry Acumen/MASTERY


DESIRED SKILLS
General Business/Applying Reasoned Judgment/MASTERY
General Business/Ensuring Project Discipline/MASTERY
Sales/Negotiating collaboratively/MASTERY


Telework Specifications:
Idea candidate would be based in Hartford; OR be within the tri-state area


ADDITIONAL JOB INFORMATION
Opportunity to be involved with the implementation of the enterprise clinical platform.

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.


Potential Telework Position:
Yes

Percent of Travel Required:
10 - 25%

Click To Review Our Benefits (PDF)

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