Aetna Health Service Manager in Hartford, Connecticut
Req ID: 43203BR
The main function of this position is to support Medical Directors and clinical staff at Aetna. The job will also entail some administrative duties associated with meetings agenda and minutes.
The Clinical Policy Unit is seeking a Health Service Manager to join a well-established team that works to enhance the efficiency and effectiveness of delivering quality healthcare. In this role, the prospective candidate will (i) provide clinical policy consultation and support to medical directors and clinicians, (ii) evaluate the safety and effectiveness of medical technologies (drugs, devices, and procedures) and contribute to the development of clinical policies, and (iii) co-ordinate implementation and publication of clinical policies with other areas of the organization (e.g., Coding, Compliance, Pharmacy, Patient Management, Quality Management, and Medical Policy & Operations).
This position requires an individual with an RN degree, Pharmacy degree, or an advanced degree in clinical sciences. The candidate should have a basic understanding of the principles of evidence-based medicine, know how to search the medical literature for development of clinical policies, and be able to communicate with staff in responding to their clinical questions. Analytical, organization and writing skills as well as knowledge of the Microsoft Office Suite of Products (Outlook, Word, Excel) are essential. Familiarity with Internet document content management systems is a plus.
Technical/professional of clinical expertise and experience relevant to business area is required
Strong analytical skills are required
Must be able to work with others and as part of a team
Medical terminology assessment experience is strongly preferred
Evidence based medicine experience is a plus
The minimum level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse (RN) is preferred
Pharmacy/Registered Pharmacist (RPh) is preferred
Healthcare Management/ is preferred
Medical Management/ is preferred
Functional - Clinical / Medical//1+ Years
Functional - Planning//4+ Years
Functional - Medical Management/Medical Management - Clinical coverage and policies/1+ Years
This role can be worked out of any Aetna office or at home
ADDITIONAL JOB INFORMATION
The candidate will have an opportunity to broaden his/her knowledge in evidence-based medicine as well as medical technology assessment; and work with a first-class group that is highly regarded in the industry.
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: Health Care