Aetna Senior Consultant in Hartford, Connecticut

Req ID: 42755BR


Responsible for developing efficient identification rules according to program design requirements to find members with gaps in care for action by the medical management teams. In this capacity, you will drive decision making of the most credible and efficient data elements to use. You will be responsible for developing, testing, configuring and maintaining these identification rules in the Medical Management systems & applications, and have an understanding of the interdependencies of rules across diverse categories. Accountable for performing validation of results against what is expected. In this position, you will serve as one of the analytical resources within the department for resolving informational needs.

Fundamental Components:

3-5 years experience in healthcare data reporting and analysis.

Experience with data quality research & analysis as well as problem solving and root cause analysis.

Comfortable with placing high importance on attention to detail

Experience with relational databases, especially the Data Warehouse is helpful, as well as the ability to interpret and manipulate related data.

Proven track record meeting project dates.

Excellent verbal and written communication skills. Exceptional listening skills.

Ability to interact with individuals at varying levels of the organization.

Works effectively in ambiguous situations.

Demonstrates resiliency and commitment during times of change.


3-5 years of data interpretation and analysis experience.

Experience with relational databases as well interpretation and manipulation of related data.

Background in Healthcare, particularly Medical Management is helpful

Experience performing analysis and determining root cause of any issues

Excellent verbal, written and listening skills.

Able to respond to quickly to changing priorities


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


Technical - Aetna Applications/Enterprise Data Warehouse/1-3 Years/End User

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


General Business/Applying Reasoned Judgment/ADVANCED

General Business/Turning Data into Information/MASTERY


General Business/Consulting for Solutions/ADVANCED

Technology/Selecting and Applying Technology Solutions/ADVANCED

General Business/Maximizing Work Practices/ADVANCED

Telework Specifications:

Current telework employees encouraged to apply and will remain work at home.

Current office employees will remain in office for a certain period of time.

External candidates considered for any US location, required to work out of any Aetna office

Training period in the office may be required


You will be part of the Medical Operations team servicing internal business customers, offering them consulting services and solutions to informational needs. The environment is team based, fast paced and dynamic. Team members are not co-located. Applicant should be comfortable with remote team members

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