Aetna Senior Data Analyst (49954BR) in Baton Rouge, Louisiana

Req ID: 49954BR

POSITION SUMMARY

Manages and influences health care quality projects and initiatives through design, development, and implementation. These activities enable Aetna to improve health care quality products, services, and processes by partnering across business units to meet business needs and accomplish goals.

Develops and manages provider operational reports and analysis. Sample of output would be provider operational dashboards, provider utilization and trend analysis. Assists with adhoc reporting as needed.

Fundamental Components:

  • Serves as the (Regional/National) Project Leader to oversee all aspects of project implementation including budget development and supervision of staff participants (e.g., HEDIS/Accreditation). May seek funding from external sources.

  • Prioritizes and makes recommendations for the design, development, and implementation strategy of quality improvement projects, and initiatives.

  • Designs the data collection methodology, metrics, and data elements needed to measure outcomes of QI projects.

  • Translates and delivers business information to internal and external constituents via formal presentations and/or written communications.

  • Develops documentation templates and systems to support QM projects and initiatives.

  • Forms and leads cross functional workgroups to design and implement QI initiatives.

  • May have supervisory responsibilities.

  • Supports sales and marketing in their efforts to acquire and retain customers (e.g., responding to RFPs, quality presentations, request for measurement information).

  • Educates and consults with unit business managers on quality improvement methods (e.g., work flow, data analysis, metrics).

  • Develops provider dashboards.

  • Develops analysis and tools for provider utilization analysis.

  • Adhoc state reporting as needed.

  • Automation of reports in SQL environment.

BACKGROUND/EXPERIENCE desired:

  • 5 to 7 years clinical and/or managed care experience in the healthcare industry and quality management.

  • Project management and leadership experience.

  • SQL required; SSRS, SSIS, Tableau, QNXT and configuration experience preferred

  • Must be self-directed and self-motivated to work in a fast-paced environment

EDUCATION

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

LICENSES AND CERTIFICATIONS

Information Management/ is desired

Information Technology/ is desired

FUNCTIONAL EXPERIENCES

Functional - Information Technology/Application architecture/4-6 Years

Functional - Information Technology/Data / info management & architecture/4-6 Years

Functional - Information Technology//

TECHNOLOGY EXPERIENCES

Technical - Reporting Tools/SAS//

Technical - Operating Systems/Windows//

Technical - Database/SQL Server/4-6 Years/Power User

REQUIRED SKILLS

Leadership/Developing and Executing Strategy/ADVANCED

ADDITIONAL JOB INFORMATION

Opportunity to work in a fast-paced environment allowing for creativity in the development of critical work tools. Will be a significant contributor to the operations team.

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.

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Job Function: Quality Management