Aetna Mgr, Clinical Health Svcs in Chantilly, Virginia

Req ID: 54595BR

Position Summary:

The Manager, Clinical Health Services provides oversight and management of clinical team processes including the organization and development of high performing teams.

Job Responsibilities:

Reinforces clinical philosophy, programs, policies and procedures

Communicates strategic plan and specific tactics to meet plan

Ensures implementation of tactics to meet strategic direction for cost and quality outcomes

Creates direction and communicates a business case for change by focusing on and addressing key priorities to achieve business results

Identifies opportunities to implement best practice approaches and introduce innovations to better improve outcomes. -- Accountable for meeting the financial, operational and quality objectives of the unit

May be accountable for the day-to-day management of teams for appropriate implementation and adherence with established practices, policies and procedures if there is not supervisor position

Works closely with functional area managers to ensure consistency in clinical interventions supporting our plan sponsors

Develop, initiate, monitor and communicate performance expectations

May act as a single point of contact for the customer and the Account Team which includes participation in customer meetings, implementation and oversight of customer cultural requirements, and support implementation of new customers

Participate in the recruitment and hiring process for staff using clearly defined requirements in terms of education, experience, technical and performance skills

Assesses developmental needs and collaborates with others to identify and implement action plans that support the development of high performing teams

Consistently demonstrates the ability to serve as a model change agent and lead change efforts

Accountable for maintaining compliance with policies and procedures and implements them at the employee level

Ability to evaluate and interpret data, identify areas of improvement, and focuses on interventions to improve outcomes

Background/Experience Desired:

5-7 years in clinical area of expertise.


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


Nursing/Board of Nursing (Any State) is required or

Mental Health/Licensed Clinical Social Worker is required or

Mental Health/Licensed Professional Counselor is required

Functional Experiences:

Medical Management/Medical Management - Case Management/4-6 Years

Medical Management/Medical Management - Administration/Management/1-3 Years

Management/Management - Operations/1-3 Years

Human Resources/Staffing/1-3 Years

Technology Experiences:

Technical - Desktop Tools/Microsoft Explorer/1-3 Years/End User

Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User

Technical - Desktop Tools/Microsoft PowerPoint/1-3 Years/End User

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. 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.

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.

Aetna takes our candidates'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

Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.