Req ID: 51101BR
Participate in multi-discipline team to develop innovative provider contracts that result in improved quality of care and cost for both commercial and Medicare Advantage lines of business. Apply rigorous analysis and financial discipline to evaluating opportunities and projecting outcomes.
-Partner with clinical, legal, infomatics and business partners to develop new VBC (Value-Based Contract) programs
-Anticipate short and long term implication of programs including their interaction
-Apply past program successes and failures to new program design
-Mine data to look for opportunities that would benefit from value based programs and design program to tap into opportunity
-Develop expected program benefit and ROI
-Partner with legal to develop financial section of contract
-Develop financial guidelines for contract parameters
-Develop training materials
Bachelor's degree along with 10 years experience
Experience with provider contracts preferred
Experience with Medicare Advantage preferred
Strategic thinker - innovator
Prior healthcare experience is required
Strong communication skills as this role will interact/influence Sr. Leaders
Ideal candidate will have their ASA or FSA
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Actuarial/Fellow of the Society of Actuaries is desired
Actuarial/Member of the American Academy of Actuaries is desired
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 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.
Job Function: Actuarial