Location: Wellesley, MA
We are looking for a Healthcare Analytics leader to join our Consumer Health Products team.
Health Outcomes Analytics Manager
will play a critical role in the development of Aetna’s next-generation consumer-facing products by leading the strategy and process to holistically measure impact on our members’ health. This includes evaluating potential features and initiatives, measuring performance and driving continuous improvement.
Aetna Consumer Health & Services (CH&S)
is a newly formed division of Aetna with the ambition to build the leading health services franchise in the world, based on cutting edge analytics to influence consumer and provider behavior, resulting in improved health and more efficient resource utilization.
Aetna’s Consumer Health Products Group (CHP)
, within CH&S, comprises over 1,800 employees from Aetna Digital, Aetna One Advocate, bswift, and PayFlex who are deeply committed to delivering capabilities that seamlessly integrate to transform the member experience.
Drives the overall design or methodology of tactical and strategic solutions that satisfy healthcare information needs across products
Provides thought leadership and recommendations for analytic solutions, metric definitions, studies, methodologies and tools
Designs and conducts analyses and outcome studies using healthcare claims, pharmacy and lab data, employing appropriate research designs and statistical methods
Creates and evaluates the data needs of assigned projects and assures the integrity of the data
Supports sound business decisions based on data, results and information derived from industry trends, research findings, and Aetna-specific reports and analyses
Anticipates and recognizes matters that effect ability to create valid measures, reports and analyses and take appropriate action to reduce bias
Develops analytical solutions demonstrating cost containment and quality initiatives
Presents analytic reports to clients and stakeholders
Stays informed about industry trends, research findings, and evaluation methods.
Proactively builds and maintains internal and external key relationships.
Manages personal resources and cross-functional projects and customer expectations to achieve constituent satisfaction
Responsible for team commitments to quality and on-time deliverables.
Ability to manage conflicting priorities and multiple projects concurrently
Motivates, understands, and probes into technical details
7 or more years of healthcare industry analytic experience
Strong problem solving, analytical, and project management skills.
Health care analysis, health economics, epidemiology, or health services research experience
Experience performing analyses to support healthcare quality improvement initiatives a plus
Demonstrated extensive and diverse knowledge of health care data, metrics, systems and standards; demonstrated subject matter expert in multiple subject areas.
Deep knowledge of health care industry, policy, research design, univariate and multivariate statistical analyses, predictive modeling, case-mix and risk adjustment methods and tools
Well-versed in statistical model building and concepts, decision trees and classification rules, segmentation and cluster analysis.
Able to make sound decisions and recommendations to drive business solutions.
Demonstrated ability to effectively communicate and negotiate across the business and in the external health care environment.
Ability to communicate statistical and technical ideas and results to non-technical clients in written and verbal form.
Strong leadership experience, collaboration skills with the ability to work effectively with all levels of management and staff.
Ability to perform and manage multiple activities and changing priorities.
Experience in working in a data warehouse environment as well as the ability to work with large data sets from multiple data sources.
Advanced SQL and/or SAS programming abilities in data warehouse or big data analytics environment, including use of statistical analysis techniques or business intelligence application development.
Strong reporting skills using Excel, Access, Word and/or PowerPoint.
Ability to evaluate/recommend the use of other reporting platforms to solve constituent needs: Business Objects, Microsoft Access, web development technology, big data analytics, data mining, Visual Basic.
Understanding of relational databases, data systems and data warehouses.
Education and Certification Requirements
Master's degree in relevant field with healthcare analytic experience; or
Bachelor's degree in Statistics, Economics, Mathematics, Computer Science or related field with extensive healthcare analytic experience
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.
Career Band Description
Website : http://www.aetna.com
Aetna Inc. operates as a diversified health care benefits company in the United States. The company operates in three segments: Health Care, Group Insurance, and Large Case Pensions. The Health Care segment provides medical, pharmacy benefit management, dental, behavioral health, and vision plans on an insured basis, and an employer-funded or administrative basis. This segment also provides Medicare and Medicaid products and services, as well as other medical products, such as medical management and data analytics services, medical stop loss insurance, workers' compensation administrative services, and products that provide access to its provider networks in select markets. This segment offers its products and services to multi-site national, mid-sized, and small employers, as well as individual customers. The Group Insurance segment provides life insurance products comprising group term life insurance, voluntary spouse and dependent term life insurance, group universal life, and accidental death and dismemberment insurance; disability insurance products; and long-term care insurance products, which offer benefits to cover the cost of care in private home settings, adult day care, assisted living, or nursing facilities. This segment provides insurance products principally to employers that sponsor its products for the benefit of their employees and their employees dependents. The Large Case Pensions segment manages various retirement products, including pension and annuity products for tax-qualified pension plans. The companys customers include employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, governmental units, government-sponsored plans, labor groups, and expatriates. Aetna Inc. was founded in 1853 and is headquartered in Hartford, Connecticut.