Aetna Dir, Bus Proj Prog Mgmt in Austin, Texas
Req ID: 41539BR
The Director of System Support leads a strong technical team responsible for vendor operations for payment and clinical policy claims editing systems provided by companies such as McKesson. Vendor solutions and oversight applies across multiple claim platforms and business units. Must be familiar with the vendor contract provisions and work with Procurement to negotiate contract amendments. The position requires ongoing collaboration with multiple areas of the enterprise, including information technology, claim operations, medical policy, clinical policy, medical cost reduction programs, as well as regulatory and legal functional areas.
Lead the team and develop individual contributors.
Develop and manage vendor relationships.
Initiate funding requests for Service Request enhancements and projects following the Aetna Project Life Cycle (APLC).
Manage day-to-day program/development activities and deliver implementation projects according to scope, schedule and budget.
Ensure project governance and financial requirements are met.
Effectively communicate project requirements, challenges, and outcomes to senior leadership
Ability to work in an ambiguous and fast paced environment.
5+ years managed care / health insurance industry experience.
Proven track record managing complex projects and / or programs.
Proven ability to deliver product on time and on budget
Experience managing and/or working with teams that are geographically dispersed.
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Information Technology/ is desired
Claims/ is desired
Functional - Information Technology//4-6 Years
Functional - Management/Management - Multifunctional management: < 25 employees/1-3 Years
Full-Time Telework (WAH)
ADDITIONAL JOB INFORMATION
This is an opportunity to lead a fast-paced and innovative team dedicated to developing and managing creative vendor solutions to ensure Aetna members receive accurate, cost-effective and efficient claims payment.
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 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.
Job Function: Management