Serve as the liaison between data analytics/reporting teams and the clinical leadership team
Identify trends in population health while providing a clinical perspective
Support clinical solutions aimed at improving patient care, safety and health outcomes
Leverage existing data and reporting sources as well as develop new analytics
Identify, develop, implement, and evaluate the effectiveness of strategic initiatives
Analyze policy/procedure/workflows on case management and utilization management for care redesign
Analyze Total Cost of Care, Stars, Risk Adjustment, etc. data for opportunities and propose Strategic Action Items
Work collaboratively with Medical Economics Unit, Analytics and Behavioral Change, Aetna Clinical Services and Medical Affairs' other departments
Develop and improve Medicare reporting, such as in Tableau
Lead and implement informatics communication efforts
Maintain strong collaborative relationship with care management teams
Active participation in meetings and communications

Requirements

Board certification in Medical Informatics preferred
Masters in related field preferred
5 years work experience in managed care required (preferably in Medicare)
Experience in care model design and implementation, population health development and/or clinical product development preferred
Medical informatics and/or data science experience preferred
Care Redesign experience required
Must meet COVID-19 requirements
Active and current state medical license without encumbrances
M.D. or D.O., Board Certification in a recognized specialty including post-graduate direct patient care experience

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

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

data analyticsreportingpopulation healthclinical solutionscase managementutilization managementTotal Cost of Care analysisMedicare reportingcare model designclinical product development

Soft Skills

collaborationcommunicationleadershipstrategic thinkingrelationship managementanalytical thinkingproblem-solvinginitiativeparticipationevaluation

Certifications

Board certification in Medical Informaticsstate medical licenseM.D.D.O.Board Certification in a recognized specialty