Aetna Financial Director - Medicare (52413BR) in Hartford, Connecticut
Req ID: 52413BR
Supports Aetna's ability to achieve its financial and strategic goals through balanced framework of financial, clinical, and business process review and analysis. Manages pricing commitments measurement process to assure compliance and highlight and address non-performance.
Reviews and absorbs data from multiple sources and uses that information to develop insights about markets and products, processes and problem solving.
Keeps Medicare GMs and other key business constituents informed of trends, new technologies and other issues relevant to their business.
Advises senior leadership on actions to improve profitability.
Maintains a routine forum for triaging critical issues to the most appropriate resources that can resolve.
Partners with Government Services senior management teams to maintain financial, clinical, and operational control of the business outcomes, working with Local & Regional Business leads to drive fundamental components of continual process improvement.
Establishes a balanced set of metrics to manage the business and drive strategic decision making.
Partners with Medicare Medical Directors, and Medicare Network Leads to develop and implement actions that improve quality and efficiency, enabling and further enhancing competitiveness.
Anticipates challenges to achieving pricing commitments and develops recommendations for successful execution.
Leads the coordination and development of Medicare corrective action plans, quick strike, deep dive, and other necessary triage processes.
Monitors business performance to identify early indicators of financial/performance problems.
Manages acquisition integration to ensure planned synergies are achieved.
Identifies emerging product/market trend vulnerabilities and opportunities through analysis; reviews all assigned markets, develops and implements action plans.
Utilizes all available applications to locate difficult or hard to find information when needed for constituents.
Identifies and drives plans to align resources with shared services to drive expected Medicare focus.
Supports Medicare GMs with competitive intelligence analysis and benchmarking.
Monitors and evaluates risk and delegation arrangements; Provider Collaborations, P4P, and Reinsurance.
10+ years financial management experience including strategic and business planning, accounting and financial analysis. Extensive experience in healthcare, managed care insurance or financial services.
Experience supporting a P&L PMP, Six Sigma or other Certificate in either Process Improvement or Project Management is desirable.
The highest level of education desired for candidates in this position is a Master's degree.
Functional - Finance/Financial analysis - P&L support/7-10 Years
Functional - Finance/Financial Forecasting/7-10 Years
Technical - Database/Hyperion Essbase/4-6 Years/End User
Technical - Desktop Tools/Microsoft PowerPoint/4-6 Years/End User
Finance/Delivering Profit and Performance/MASTERY
Finance/Profit and Quality Vigilance/ADVANCED
General Business/Consulting for Solutions/MASTERY
General Business/Turning Data into Information/MASTERY
Leadership/Driving a Culture of Compliance/MASTERY
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 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: Financial Services