Job added in hotlist
Applied job
Contract job
90-day-old-job
part-time-job
Recruiter job
Employer job
Expanded search
Apply online not available
Similar Jobs
Vice President Marketing
Gulfstream Park
Hallandale, FL
Apply Now >
VP of Human Resoources
ExecuNet
Fort Lauderdale, FL
Apply Now >
VP, Human Resources
JetSmarter Inc.
Fort Lauderdale, FL
Apply Now >
Senior Strategic Planner
Aetna Inc.
Sunrise, FL
Apply Now >
Senior Strategic Planner
Aetna Inc.
Sunrise, FL
Apply Now >
View more jobs in Fort Lauderdale, FL
View more jobs in Florida

Job Details

Senior Strategic Planner

Company name
Aetna Inc.

Location
Fort Lauderdale, FL

Apply for this job






1 hit(s)  

Profile

Senior Strategic Planner

Aetna

Fort Lauderdale

FL

Job #667881259

Req ID: 50659BR

POSITION SUMMARY

We are expanding our Duals Special Needs Plans (DSNP) department at Aetna and building an exciting new clinical and member experience program. The National DSNP Clinical Operations Department will oversee care management and clinical quality for this growing book of business, nation-wide. We are adding to a small but highly experienced DSNP clinical leadership team as we grow and we are looking for talented, dynamic and passionate people to join us. The Senior Strategic Planner will report to theDirector of National DSNP Clinical Operations and will serve as the lead for planning, implementation and performance management of the DSNP care management program. The Senior Planner must be innovative and not afraid to challenge existing ways of working to continuously improve and enhance our care model and care delivery mechanisms.

Fundamental Components:

Understand and articulate the DSNP business and operational requirements to a clinical workflow application (software) development team including: workflow configuration, business rules and operational reporting requirements. Coordinate operational planning efforts with interdependencies between DSNP care management and other clinical program partners both internal and external to Aetna. Lead regular reviews of operational reporting and program performance. Works closely with clinical operational leadership team to identify and evaluate opportunities for process optimization. Lead projects and initiatives to continuously enhance the clinical program and improve performance of associates and outcomes of the program. Proactively identifies opportunities for improvement and influences others to align through complex negotiations and/or expert consultation that promotes issue resolution. Stimulates strategic thinking and provides thought leadership in support of business direction.

Manages special projects that DSNP, driving and guiding engagement from key influences using a disciplined and repeatable methodology.

Works closely with DSNP and clinical leadership teams to effectively implement new products, programs, and expansion opportunities across the enterprise. Builds optimal and influential partner/vendor relationships; developing and managing the relation long term across all states. Designs, develops, and facilitates work sessions to deliver project and program initiatives including required analysis, reporting, and presentation materials. Identified gaps in projects or programs and challenges self and others to develop and implement solutions. Drives or guides development of holistic solutions and/or key strategic plans; proactively identified opportunities for improvement and influences others to align through complex negotiations and/or expert consultation that promotes issue resolution.

Manage the recruitment and on-boarding of new clinical associates in partnership with other clinical operations leaders and with the support of a project planning / implementation specialist Demonstrates proficiency managing email in an Outlook account and using remote communication software such as Skype and WebEx; able to demonstrate proficient with Word, Excel, MS, Visio, PowerPoint and experience documenting within an electronic health record.

BACKGROUND/EXPERIENCE desired:

5 years of experience in care management operations

Experience with care management program and staff management in a managed care setting required

Experience with Medicare Duals Special Needs Plans policies, regulations and population needs required

Experience with clinical workflow application development strongly desired

Outstanding communicator and self motivated leader with the ability to communicate upwards and with peers effectively

Strong organizational and time management skills. Resolution focused with high attention to detail, accuracy, problem solving and follow up. Ability to flex work hours at times to meet business needs Thrives in a fast paced work environment

Strong technical skills and proficiency in the utilization of standard MS Office products including Word, Excel, MS, Visio, PowerPoint.

EDUCATION

The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

Telework Specifications:

It is desired that this role be based in Sunrise Florida with other senior members of the National DSNP Clinical Operations teams; candidates may be considered in the following other locations: [PA/KS/MO local Medicare market management team locations] as well as DSNP Georgia location.

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: Planning

Updated 05/16/2018

Company info

Aetna Inc.
Website : http://www.aetna.com

Company Profile
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 company’s 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.

Similar Jobs:
Sr Product Planning Consultant
Location : Plantation, FL
Description The ASTRO Devices portfolio represents some of the most advanced technology to enable our customers to be their best in the moments that matter. As we continue to grow and advance the ASTRO Devices portfolio, the need...
Clinical Senior Strategic Planner
Location : Sunrise, FL
POSITION SUMMARY We are expanding our Duals Special Needs Plans (DSNP) department at Aetna and building an exciting new clinical and member experience program. The National DSNP Clinical Operations Department will oversee care ...
Digital Media Planner
Location : Fort Lauderdale, FL
The purpose of this job description is to describe the authority, responsibilities, and duties of the Integrated Digital Media Planner. Authority This position works under General Direction, providing overview of end result; work ...
I was facing the seven-year itch at my previous workplace. Thanks to EmploymentCrossing, I'm committed to a fantastic sales job in downtown Manhattan.
Joseph L - New York, NY
  • All we do is research jobs.
  • Our team of researchers, programmers, and analysts find you jobs from over 1,000 career pages and other sources
  • Our members get more interviews and jobs than people who use "public job boards"
Shoot for the moon. Even if you miss it, you will land among the stars.
PlanningCrossing - #1 Job Aggregation and Private Job-Opening Research Service — The Most Quality Jobs Anywhere
PlanningCrossing is the first job consolidation service in the employment industry to seek to include every job that exists in the world.
Copyright © 2018 PlanningCrossing - All rights reserved. 168