Aetna Sr Informatics Cnslt/Lead in New York, New York
Req ID: 45924BR
This position is responsible for conducting analytical projects for Aetnas Health System Joint Venture Strategy. Candidate will work collaboratively with business units across the Company and directly with our hospital and physician partners providing medical cost and outcomes focused analytical research, complex financial modeling and business decision support reporting. The team is engaged in all aspects of the analytic lifecycle from program ideation/business case development through outcomes studies, report development and financial support to providers.
Conduct analytical projects in support of Aetnas Health System Joint Venture Strategy.
Provide analytical support for Joint Venture contract negotiations and on-going analytical support for active Joint Venture relationships.
Create actionable financial projections, decision support models, and financial reporting for new and evolving products, programs and initiatives.
Develop innovative analytics, insights and solutions for medical cost drivers, program valuation studies and network design/provider reimbursement issues.
Work directly with our provider partners and other internal units in designing and implementing evolutionary changes in Aetnas Joint Venture Strategy.
Perform financial reconciliations as part of JV contracts.
Able to make sound decisions and recommendations to drive business solutions.
7 or more years of provider reimbursement analysis, medical cost analysis & health industry experience.
Demonstrated extensive and diverse knowledge of health care data, metrics, systems and standards.
Power-user with MS Excel.
Working knowledge in data querying tools.
Strong problem solving, analytical, and project management skills.
Excellent written & oral communication skills.
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
ADDITIONAL JOB INFORMATION
Aetna offers a broad range of traditional and consumer-directed health insurance products and related services, including medical, pharmacy, dental, behavioral health, group life and disability plans, and medical management capabilities and health care management services for Medicaid plans. Our customers include employer groups, individuals, college students, part-time and hourly workers, health plans, governmental units, government-sponsored plans, labor groups and expatriates. We believe we can help create a better health care system. This belief drives our daily decisions as one of the nation's leading health care benefits companies. We work hard to provide our members with information and resources to help them make informed decisions about their health. Health care is an ever-changing business, and Aetna's committed to bringing value to our customers and putting them at the center of everything we do. Discover exciting careers at Aetna.
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