Req ID: 49147BRPOSITION SUMMARY This position reports directly to the VP of Provider Transformation. The Executive Director is front facing to the provider partners to ensure the execution of the defined road map to 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. S/he collaborates with other leaders within the transformation team and across ACS to identify enabling technology and service products, programs, and approaches that integrate informatics and performance improvement with clinical, business, strategic, and technology transformation approaches. Fundamental Components: Assesses providers capability infrastructure for population health management (Pre deal and concurrent with reviews). Assist in the development for Sr. leadership presentations for ACO performance Responsible for managing the providers' financial risk of ~ $250M for each assigned region Interacts, presents, and engaged with C-suite level provider partners throughout the transformation journey. Recognized and engaged as a thought leader in the provider transformation space. Leads the implementation of a comprehensive customized strategy ( ACO 2.0 roadmap) to drive a successful population health management operation for each of the region ACOs and Joint Venture provider partners. Capture and elevate to Sr. Leadership the feedback from the market place and the provider community that will shape the ACS strategies going forward. (continuous process improvement) Provides consultation and advisory support to the provider to close the gaps in the capabilities across commercial and Medicare lines of business. Monitor and track ACO performance against the defined targets and engage with ACOs in deep dive projects for process improvement and review of technology enablement. Partner with clinical team in implementing and deploying various skills and transformation projects. Manages projects, people, customer expectations and business priorities to achieve constituent satisfaction. Motivates and is willing to understand and probe into technical details, and mentors others to do the same. Contributes to a motivated work environment by working effectively to achieve common goals. Strategic member of the Transformation Leadership team. Communicates and consults with Senior Leadership to ensure that informatics and performance improvement strategies focus on long term results and represent all constituencies effectively. Collaborates with the external provider partner and internal (Executive Director of Transformation and ACS departmental leaders) stakeholders to design, implement, and continually improve outcomes tracking and measurement models related to Provider Transformation. Collaborates with business partners to provide advice on metrics, tools, and outcomes models for development and evaluation of projects and programs. Proactively builds and maintains internal and external key relationships. BACKGROUND/EXPERIENCE desired: 10 years strong background in health care analysis methods and tools, health economics, ACO finance. Ability to collaborate with and understand the needs of C-level executives and help translate those needs to an actionable plan. Demonstrated ability to communicate technical concepts and implications to business and policy decision-makers and clients. Outstanding verbal and written communication skills, including formal presentations for all levels of management combined with strong collaboration/influencing abilities. 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 and tools. Strategic business acumen and proven organizational, management, and leadership skills. Demonstrated collaborative style, with ability to influence diverse teams and build strong relationships. Demonstrated strategic thinking, problem solving and critical thinking abilities. Demonstrated success leading direct, indirect, and virtual teams in a matrixed environment successful direct report leadership and coaching experience. Demonstrated ability to negotiate complex and often contentious issues; reach consensus and work through people to achieve key goals. Financial acumen and experience with accountable care financial models. Experienced working with clinical and claims data. Success experience working with clinicians, finance and operational leaders to drive performance improvement experience. 30-50% travel required. EDUCATION The highest level of education desired for candidates in this position is a Master's degree. LICENSES AND CERTIFICATIONS Management/ is desired Telework Specifications: Location for search should include: California, Texas, Chicago, New York, Atlanta, GA 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
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Aetna Inc. operates as a diversified health care benefits company in the United States. The company operates in three segments: Health Care, Group Insurance, and Large Case Pensions. The Health Care segment provides medical, pharmacy benefit management, dental, behavioral health, and vision plans on an insured basis, and an employer-funded or administrative basis. This segment also provides Medicare and Medicaid products and services, as well as other medical products, such as medical management and data analytics services, medical stop loss insurance, workers' compensation administrative services, and products that provide access to its provider networks in select markets. This segment offers its products and services to multi-site national, mid-sized, and small employers, as well as individual customers. The Group Insurance segment provides life insurance products comprising group term life insurance, voluntary spouse and dependent term life insurance, group universal life, and accidental death and dismemberment insurance; disability insurance products; and long-term care insurance products, which offer benefits to cover the cost of care in private home settings, adult day care, assisted living, or nursing facilities. This segment provides insurance products principally to employers that sponsor its products for the benefit of their employees and their employees dependents. The Large Case Pensions segment manages various retirement products, including pension and annuity products for tax-qualified pension plans. The companys customers include employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, governmental units, government-sponsored plans, labor groups, and expatriates. Aetna Inc. was founded in 1853 and is headquartered in Hartford, Connecticut.