Lead and manage strategic projects and programs from initiation to completion, ensuring on-time delivery, budget adherence, and alignment with defined scope and objectives
Drive transformation initiatives to modernize healthcare UM operations by aligning cross-functional teams (business, IT, architecture, operations) to deliver strategic goals and continuous improvement
Collaborate with senior leadership to define strategic plans, establish program objectives, and ensure alignment with organizational priorities
Set up and execute SAFe Agile trains; lead PI planning and sprint execution while coaching teams and leaders on agile methodologies and best practices
Define product features, prioritize MVPs, and develop delivery roadmaps for UM automation capabilities, including deployment of APIs, ODM Rules Engine, predictive models, and AI voice technologies
Oversee configuration and maintenance of business rules and automation tools to support scalable and efficient operations
Apply formal project management methodologies to manage timelines, risks, dependencies, and change controls; maintain detailed documentation, dashboards, and executive-level reporting
Monitor budgets and resource allocation to ensure financial accountability and maximize ROI; proactively develop mitigation strategies and contingency plans to address risks
Responsible for developing, motivating and managing a high-performing team members to meet organizational goals and objectives while effectively managing change
Contribute to a motivated work environment by working collaboratively and effectively with key stakeholders across Health Care Business and Aetna Clinical Solutions to achieve common goals
Requirements
10+ years experience in healthcare project management with proven track record of leading large-scale, complex initiatives in healthcare insurance or managed care organization
Strong understanding within clinical and health plan operations and value creation methodologies including Utilization and Policy Management, Care Management and Coordination, Quality, Compliance and Regulatory Management
Successful experience in strategic planning, execution, and agile project portfolio management within healthcare industry
Expertise in technologies such as APIs, Microservices, Business Rules, Predictive Modeling, AI, NLP
High ability to consistently produce and create value and meet/exceed committed performance
Strong interpersonal and communication skills, effectively communicate key messages to executive leaders and internal/external stakeholders
Strong verbal and written communication skills; proven ability to deliver presentations to senior leadership team members
Effectively lead and motivate teams to ensure high standards of performance and outcomes
Benefits
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access
Applicant Tracking System Keywords
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