Aetna Medical Economics Senior Consultant in Hartford, Connecticut

Req ID: 41606BR

POSITION SUMMARY

Dynamic Medical Economics role that performs analysis on medical cost trends by market with some "what if" analyses based on numerous variables. Proficiency in SAS programming and analysis is required for this position.

Role supports Aetna's Vision 2020 by identifying opportunities within the Medicare line of business to mitigate trend through the analysis of cost outliers in a specific market and across the country, creating "what if" analyses to support decision making, and identifying incorrect claim payments to vendors. Claim Data extracts are linked to reports in Tableau for the Aetna local market's use to review trend at the specialty, procedure code, provider level and to identify and address outliers where appropriate.

Fundamental Components:

-Analyzes complex data for trends, highlights in-depth interpretations and provides in-depth root cause analysis.

-Translates complex data into constructive data and information and makes recommendations.

-Defines, identifies, develops and implements information products to support strategic business and operational planning.

-Illustrates complex information in a clear concise manner.

-Provides workgroup support on projects.

-Influences changes/enhancements to business processes, policies, and system infrastructure to improve information quality, availability and access.

BACKGROUND/EXPERIENCE desired:

-Demonstrated leadership and project management experience.

-3-6 years of SAS programming and data analysis experience.

-Extensive experience with databases as well interpretation and manipulation of related data.

-Healthcare background.

-Excellent verbal and written communication skills.

-Prior experience with Aetna data systems preferred but not required.

EDUCATION

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

LICENSES AND CERTIFICATIONS

Information Technology/SAS Base Programming Certification for SAS 9 is desired

Information Technology/Microsoft Excel is desired

TECHNOLOGY EXPERIENCES

Technical - Development Languages/SQL/1-3 Years/Power User

REQUIRED SKILLS

General Business/Turning Data into Information/MASTERY

Technology/Leveraging Technology/MASTERY

Telework Specifications:

Considered for any US location; training period in the office may be required

This is a telework position and can be located near any Aetna office

ADDITIONAL JOB INFORMATION

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 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