Req ID: 18084BR
POSITION SUMMARY
TEAM AND POSITION OVERVIEW:
Accountable Care Solutions (ACS) is a fast-paced, high growth division of Aetna. The department builds partnerships with provider organizations through innovative insurance reimbursement models and redesigned care delivery programs and technology solutions focused on population health management. ACS is redefining how payers and providers work together and achieving the triple aims of improved patient experience, improved quality of care, and lower cost of care per capita.
The Senior Engagement Manager will report into the Field Operations arm of ACS and will work on several deals. The Sr. Engagement Manager will be accountable for leading all aspects of the successful implementation, account management, and benefit realization of large and complex ACOs. This includes establishing, influencing, and managing internal cross-functional and external client relationships to ensure the effective execution of the ACO design and partnership. He/she will ensure the operational viability of the solution and determine and execute the operational plan for achieving the overall program goals. The Sr. Engagement Manager leads all aspects of the ACO implementation with a team of highly matrixed resources. Through active client management, systemic analyses, and consultancy, s/he ensures the achievement of financial, product, technology, clinical, and operational ACO goals.
Fundamental Components:
FUNCTIONAL EXPERIENCES:
- 10+ years of hospital system and/or health insurance industry experience; deep knowledge of the health care industry
- 10+ years of client management
- Outstanding verbal and written (Microsoft Word and PowerPoint) communication skills, including formal presentations for all levels of management
- Strong collaboration, influencing, and negotiation skills
- Strategic business acumen and proven senior leadership skills
- Ability to understand the needs of C-level executives and help translate those needs into actionable plans
- Ability to articulate and promote a vision
- Ability to influence diverse teams and build strong relationships
- Ability to analyze financial, clinical, and operational data and determine program status and impact to short and long-term program goals
- Demonstrated strategic/systemic thinking as well as roll up your sleeves action
- Experience managing matrixed staff with ability to leverage non direct reports to complete tasks
- Demonstrated ability to negotiate complex and often contentious issues and reach consensus to achieve key goals
- Proven track record managing complex projects and or programs that resulted in cost savings and high customer satisfaction
- Ability to identify and influence systemic change in order to improve performance results, organization effectiveness and/or systems/quality/services (e.g., policies, processes or systems)
- Identifies gaps in processes or organization and challenges self and others to develop and implement solutions
- Ability to identify new opportunities, new products and promote the sales of additional services that will increase ACO performance
BACKGROUND/EXPERIENCE desired:
See below in additional info
EDUCATION
The highest level of education desired for candidates in this position is a Bachelor''s degree or equivalent experience.
Telework Specifications:
Full Time WAH
ADDITIONAL JOB INFORMATION
Locations Mid America Region (MT, WY, ND, SD, NE, KS, OK, IA, MO, MN, WI, IL, IN, MI, OH, KY) or West Region (TX, WA, OR, ID, CA, NV, UT, HI, AK, CO, AZ, NM)
KEY RESPONSIBILITIES:
- Develops a mutually beneficial working relationship with various clients by consulting on the operational design and implementation of the ACO strategy while promoting the objectives of improving health care outcomes and increasing patient quality and value
- Seeks to optimize customer interaction, anticipating customer needs and acting as the voice of the customer internally, providing recommendations based on customer needs
- Defines, organizes, and leads a team of various Aetna, client and external resources to implement complex new arrangements with combinations of financial, product, technology, clinical, and operational elements such that the client and Aetna meet all program goals
- Collaborates cross-functionally to monitor performance and customer service efficiencies, including performance guarantees, customers and Aetna clinical and financial goals
- Looks for ways to enhance the ACO within the assigned client organization to include identifying additional new functionality, programs, products, services and technology to ensure better outcomes and achievement of program objectives
- Has ultimate accountability for project management services being delivered including organizations budget and/or financial implications
EDUCATION:
- The highest level of education desired for candidates in this position are Bachelors degree or equivalent experience; Masters degree preferred.
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.
We conduct pre-employment drug and background testing. Benefit eligibility may vary by position. Clickhereto review the benefits associated with this position.
Job Function: Management