Aetna Sr Dir, Medicaid Operations/Chief Operating Officer -Kentucky in Louisville, Kentucky40290

Req ID: 41118BR

POSITION SUMMARY

Chief Operating Officer Aetna Better Health Kentucky. Manage the state wide health plan operations of a 260,000 Medicaid health plan located in Louisville KY.

Fundamental Components:

Position will report directly to the CEO. Ability to work closely with other members of the C-Suite including the CMO and CFO. Senior Operations Officicer responsible for daily delivery of health plan services throughout the Commonwealth of KY. Direct reports include the following cross functional departments: Grievance & Appeals, Member Services, Provider Operations, Network Operations.

Excellent communication and relationship management skills. Express thoughts in an organized and articulate manner.

Ability to work collaboratively across many teams, prioritize demands from those team, synthesize information received, and generate meaningful conclusions.

Ability to conceive innovative ideas or solutions to meet our members, providers and regulatory requirements.

10+ years work experience that reflects a proven track record of proficiency in the competencies noted.

Demonstrated leadership with relevant initiatives: Business process, enterprise business project management/consulting, financial strategic planning and analysis,

BACKGROUND/EXPERIENCE desired:

Ability to work closely with client service, operations, and investment personnel

Proven leadership and negotiation skills.

Recent and related managed health care experience.

Listen very effectively and build a climate of trust and respect with prospective and existing clients and the consulting community

mergers and acquisitions, strategic planning, risk management.

EDUCATION

The highest level of education desired for candidates in this position is a Master's degree.

LICENSES AND CERTIFICATIONS

Claims/ is desired

Healthcare Management/ is desired

Management/ is desired

Managed Care/ is desired

FUNCTIONAL EXPERIENCES

Functional - Leadership/Act as company spokesperson to external constituents/7-10 Years

Functional - General Management/Multi-functional management: > 25 employees/7-10 Years

Functional - Planning/Business - organization level/7-10 Years

Functional - Customer Service/Management: > 25 employees/7-10 Years

Functional - Claims/Policies & procedures/7-10 Years

TECHNOLOGY EXPERIENCES

Technical - Operating Systems/Windows/4-6 Years/End User

Technical - Remote Access/Cisco VPN (hardware and software suite)/1-3 Years/End User

Technical - Desktop Tools/Microsoft PowerPoint/1-3 Years/End User

Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User

REQUIRED SKILLS

Leadership/Creating Accountability/MASTERY

Leadership/Driving a Culture of Compliance/MASTERY

Leadership/Engaging and Developing People/MASTERY

DESIRED SKILLS

Service/Creating a Differentiated Service Experience/MASTERY

Leadership/Driving Strategic and Organizational Agility/MASTERY

Leadership/Developing and Executing Strategy/MASTERY

ADDITIONAL JOB INFORMATION

Join a winning management Team that's leading the innovative design and delivery of health care throughout Kentucky. Senior leadership looking to add another innovative healthcare thought leader to the Team. Come see what the Commonwealth of Kentucky has to offer. One of the best kept secrets in the United States which is on the verge of an accelerated economy along with growth and development.

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.

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Job Function: Customer Service