Description: Excellent opportunity for an experienced clinician with a passion for consulting and improving overall population health to leverage their clinical, analytic and consultative skills to join our team of Clinical Program Consultants (CPC) who offer clinical insights based on analytics and recommend solutions to our customers to help improve health plan performance. Highly collaborative position working with the Aetna account team, clinical operations, and other clinical and analytic consultants to support a key, strategic, portfolio of customers in the public and labor business segment. Clinical Program Consultants are key members of the Plan Sponsor Insights (PSI) business - a business focused on providing insights and solutions based on analytics to customers in the group commercial business. The work environment supports and thrives on out-of-the box thinking, creative talent and a consultative approach. Our team is highly valued by our internal partners as well as the customers we serve.
Provide clinical consultation based on analysis and identification of key drivers of results e.g. use data to identify clinical trends, evaluate performance results, monitor engagement and collaborate on opportunities for improvement
Recommend clinical programs and services that align with the customer's strategy and help drive short- and long-term results
Development and presentation of clinical content and recommendations in customer facing meetings e.g. present findings and recommended actions to help improve performance and clinical outcomes, and work collaboratively to help track and resolve issues
Act as a trusted clinical resource providing clinical program guidance
Collaborate across the enterprise and with clinical operations
Provide input to the design of clinical solutions
Stay current on, and share knowledge of, population health trends
Registered Nurse (RN) License; Required
Minimum of 5 years clinical experience (may be a combination of different sites of care practice including: hospital, clinic, and/or community health) - required
3+ years strong clinical analytic skills; required
3+ years of consultation experience; Required
3+ years Leadership experience; Preferred
Experience working with a Health Insurance Carrier; preferred
Strong problem-solving skills and attention to detail
Excellent consultative, communication and presentation skills (ability to take complex content and facilitate understanding for the audience including preparing and presenting effective and compelling power point slides
Ability to establish highly collaborative relationships within and outside the organization including at the executive level
Bachelor's degree or equivalent experience; required
Additional Job Information:
Telework Specifications: Eligible for telework opportunity if within driving distance (1 hour) from an Aetna office in PA, VA and DC with the expectation to come into the Aetna office as needed for team meetings, training, customer strategy sessions.
Travel to meet with clients in Northern VA required
Required Skills: Benefits Management - Understanding Clinical Impacts, General Business - Communicating for Impact, General Business - Consulting for Solutions, General Business - Demonstrating Business and Industry Acumen, General Business - Turning Data into Information, Leadership - Collaborating for Results Desired Skills: Leadership - Anticipating and Innovating, Leadership - Driving Change Functional Skills: Clinical / Medical - Consultative informatics, Clinical / Medical - Disease management, Leadership - Act as company spokesperson to external constituents, Medical Management - Medical Management - Case Management Technology Experience: Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft PowerPoint, Desktop Tool - Microsoft Word, Desktop Tool - TE Microsoft Excel Education: Nursing - Registered Nurse (RN) Potential Telework Position: Yes Percent of Travel Required: 25 - 50% EEO Statement: Aetna is an Equal Opportunity, Affirmative Action Employer Benefit Eligibility: Benefit eligibility may vary by position. Click here to review the benefits associated with this position. Candidate Privacy Information: 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.