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Aetna Analytics Senior Consultant - Medicaid in Fort Worth, Texas

Req ID: 61488BR

Job Description

Participates in complex medical economics projects including medical cost savings initiatives, revenue enhancement initiatives, network and contracting reimbursement analysis.

Project management accountabilities include project oversight including initiation, identification and completion of key deliverables. Create and provide key metrics for management of Texas Medicaid health plan and a key contributor to local finance team. Manages and develops provider reimbursement programs, policies, and strategies to ensure unit cost controls meet or exceed corporate objectives for medical cost containment. Provides analytical support critical in positioning system or network changes needed.


Fundamental Components included but are not limited to:

Serves as project manager and/or participant on selected project(s). Develops critical and complex information in support of strategic business plans to meet projected requirements of business area. Provides very complex programming and analytical support for medical cost trend analysis and strategic planning (such as verifying trends developed by Actuarial team and developing new tools for the regions to analyze medical costs). Works cross-functionally throughout the region toward achieving operational targets. Presents highly complex information in a way that multiple levels within an organization can understand and utilize to make appropriate decisions to meet business objectives. Assists in development/mentoring of less experienced team members. May assist in providing direction of day to day activities.

Qualifications Requirements and Preferences:

Advanced software and programming skills including database querying knowledge such as SQL

5-8 years demonstrated leadership and project management experience.

Strong analytical ability and familiarity with advanced financial and healthcare concepts.

Ability to manage conflicting priorities and multiple projects concurrently.

Bachelor's Degree in business, finance, related field preferred or 3 to 5 years equivalent work experience in the healthcare industry.


Technology Experience:

Development Language - SQL

Required Skills:

Finance - Delivering Profit and Performance, Finance - Managing Aetnas Risk, Finance - Profit and Quality Vigilance

Additional Job Information:

This position will be a key contributor to the Texas Medicaid market programs. Opportunity to work directly with senior team and assist in developing financial and operational metrics. Highly visible position.

Benefit Eligibility

Benefit eligibility may vary by position.

Job Function: Data & Analytics

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.