Aetna Executive Director, Provider Transformation (Joint Ventures) in Phoenix, Arizona
Req ID: 41091BR
The Executive Director reports directly to the VP of Provider Transformation. The ED provides strategic leadership for the development of provider centric assessments and performance improvement strategies, road map, tools, and methodologies. S/he leads a regional team of Directors, Managers, and Senior Consultants, and is responsible for maintaining a highly productive and motivating work environment to achieve business goals and deliver superior solutions for transforming ACO/Joint Venture partners. S/he develops and implements performance improvement capabilities designed to enable Strategic, Business and Clinical Transformation within ACS providers to help achieve the triple aim. Leads the implementation of solutions with provider organizations, and provides work stream oversight for professional level engagement delivery staff from across multiple teams. The Exec Director also provides leadership in the development and implementation of transformation plans to achieve targeted improvement goals. S/he collaborates with other leaders within the transformation team and across ACS as well as Aetna overall to identify enabling technology and service products, programs, and approaches that integrate informatics and performance improvement with clinical, business, strategic, and technology transformation approaches.
Assesses providers capability infrastructure for pop health mgmt (Pre deal & concurrent with reviews)
Develop & prep for Sr. leadership presentations for ACO performance per assigned region
Accountable for managing the providers' financial risk of $250M for each region
Interacts, presents, & engaged with C-suite level provider partners throughout the transformation journey
Design & develop & oversee implementation of a comprehensive customized strategy ( ACO 2.0 roadmap) to drive a successful pop health mgmt operation for each of the region ACOs & Joint Venture provider partners
Capture & elevate to Sr. Leadership the feedback from the regional market place & the provider community that will shape the ACS strategies going forward (continuous process improvement)
Support provider partners through the implementation of the recommendations
Provides consultation & advisory support to the provider to close gaps in capabilities
Monitoring & tracking ACO performance against defined targets & engage w/ ACOs in deep dive projects for process improvement & review of technology enablement
Leads a regional team of business consultants & clinical consultants
Partner w/ clinical team in implementing & deploying various skills & transformation projects
Manages projects, people, customer expectations & business priorities to achieve constituent satisfaction
Oversees day-to-day activities of team
Manages & builds a strong team through formal training, diverse assignments, & coaching, mentoring & other development techniques
Motivates & is willing to understand & probe into technical details, & mentors others to do the same
Drives the overall design or methodology of tactical & strategic advisory solutions that satisfy needs across products, segments & clients to increase engagement
Communicates & consults w/ Senior Leadership to ensure that informatics & performance improvement strategies focus on long term results & represent all constituencies effectively
Manages budgets, plans & expenses for large scale strategic projects, & participates in cost center management
Collaborates w/ the external provider partner & internal (VP of Transformation & ACS departmental leaders) stakeholders to design, implement, & continually improve outcomes tracking & measurement models related to Provider Transformation
Collaborates with business partners to provide advice on metrics, tools, & outcomes models for development & evaluation of projects and programs.
candidate must be in either desired location - PHOENIX, AZ or DALLAS,TX
10-15 years strong background in health care analysis methods & tools, health economics, ACO finance
Minimum 12 years managerial & project mgmt experience required
5-10 years in either payer or provider settings highly preferred
Deep knowledge of health care industry, policy, research design, predictive modeling, ACO finance methods & tools
The highest level of education desired for candidates in this position is a MBA.
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 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: Management