Aetna Medical Economics Consultant in Hartford, Connecticut
Req ID: 68124BR
This is a role in a very fast paced and dynamic environment with a high performing team and there are high expectations.
This analytical position is responsible for supporting the achievement of the 2018 SAI Target for Network & Clinical Services and works collaboratively to determine the financial impact resulting from changes in Aetna s medical policy. This position is part of a team that provides focused analytical research, complex financial modeling and business decision support related to medical costs.
Fundamental Components included but are not limited to:
Participate in complex medical economic projects and business decision support
Influence changes and/or enhancements to business processes, medical policies, and system infrastructure to improve information quality, availability and access
Support the achievement of medical cost savings goals related to ideation and analysis for Scoreable Action Initiatives (SAIs).
The ideal candidate will have foundational knowledge of medical policy, as well as medical management concepts.
Must be skilled in complex data collection, modeling & analysis.
Must be skilled with Microsoft Excel & Microsoft Access and understand relational database concepts. SAS/SQL knowledge is a plus.
Must be able to appropriately prioritize & manage multiple projects while managing customer expectations and business priorities.
Requires strong communication skills, creating an environment of teamwork with MEU internal & external constituents.
Requires an understanding of healthcare industry, healthcare data, common healthcare terminology, and medical cost issues & strategies.
Qualifications Requirements and Preferences:
-Demonstrated project management experience with accountability for business results
-Strong Analytical Skills - must be able to turn data into information and influence business decisions
-Collaboration - must be able to work across teams and reach out for necessary information, input, and buy-in
-Successfully Prioritize Competing Projects
-Understand Medical Cost Drivers
Aetna Application - Enterprise Data Warehouse, Desktop Tool - TE Microsoft Excel, Development Language - SQL
Benefits Management - Understanding Clinical Impacts, General Business - Turning Data into Information, Leadership - Collaborating for Results
General Business - Communicating for Impact, General Business - Maximizing Work Practices, Leadership - Anticipating and Innovating
Benefit eligibility may vary by position.
Job Function: Healthcare
Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.