Aetna Medical Economics Manager in Walnut Creek, California
Req ID: 49915BR
We are seeking an analytic professional to join our West Territory Local Market Medical Economics team. The primary goals of this team are to develop, interpret and favorably impact local market medical cost trend and provide analysis and network actions leading to medical cost improvement. This position will provide consultative support and medical cost based analysis of markets and network initiatives
Analyze medical costs for the Commercial product lines. Research medical cost drivers and offer solutions to mitigate trends with business leaders. Support the development of scoreable action items by identifying outlier cost issues, providing value-added ad hoc analysis and generating ideas for moderation of trend increases. Consult with network and clinical management on opportunities to improve companys discount position and strategic cost and utilization initiatives. Produce ad hoc reports to satisfy information needs across products/segments and markets. Perform drill-down analysis to identify medical cost trend drivers; advise network of contracting opportunities to mitigate future trends. Proactively work cross-functionally within the markets to research drivers and solutions. Own, track and document all aspects of related work from beginning to end of a project.
Mentor and lead other analysts; provide guidance to them.
An understanding of the healthcare industry is required. Demonstrates analytical ability with financial and healthcare concepts. Ability to apply critical thinking and expresses ideas clearly. Demonstrates initiative in achieving results. Effectively communicate with constituents.
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Technical - Desktop Tools/TE Microsoft Excel/4-6 Years/End User
Technical - Database/Microsoft Access/4-6 Years/End User
Leadership/Driving a Culture of Compliance/FOUNDATION
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: Health Care