Head of Disease Management Design - RN - Location Flexible

Job Status: Full TimeJob Category: Medical/HealthEducation Level: Bachelor's DegreeExperience Required: 7+ to 10 Years Email this Job to a Friend | See All Aetna Opportunities | Learn more about Aetna We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice is heard. Head of Disease Management Design - RN - Location Flexible Job Description ABOUT OUR COMPANY 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. JOB GROUP SUMMARY The dedication of talented and caring health care professionals drives the delivery of high quality, cost effective products and services. They make it possible for members to get the right health care treatment for their needs and for Aetna to keep its competitive edge. POSITION SUMMARY Position to be filled: Head of DM Design on the National Care Management (NCM) Program Design and Sales Support Team. Effective 1/1/09, the AHC DM program will include 10M eligible members. The size and complexity of the DM program requires an experienced Program Design Lead who will work independently to: I. Lead the design, development and implementation of enhancements to the existing DM program including efforts such as linkages with PHR, customized communication to members and methods to improve member engagement a. Lead ongoing quality improvement review and collaborate with Operations to implement operational improvements b. Lead initiatives to design and conduct focused audits, review metrics and operational reports and, based on findings, develop design changes to continuously improve program operations c. Serve as a central contact for prompt and accurate resolution of operational, interdepartmental or sales concerns and questions related to the DM program d. Develop content for national policies and procedures related to the effective operation of DMII. Lead the efforts to provide business system requirements related to DM program design and enhancements to the NCM System Support team a. Provide SME involvement in the development and implementation of ATV b. Support the migration of Operations from Active Advice to ATV c. As part of the design and enhancement of the DM program, develop business system requirements as neededIII. Develop training materials a. Develop clinical content for training materials needed to ensure effective implementation of new programs and enhancements to existing DM program c. Assists in implementing national training programs as neededIV. This position will supervise 2 other DM Team members in fulfilling the above functions. Required Skills: EDUCATION The highest level of education desired for candidates in this position is a Master's degree. LICENSES AND CERTIFICATIONS - Registered Nurse (RN) is required FUNCTIONAL WORK EXPERIENCES - Administration / Operations: Management: < 25 employees - Project Management: Project Management - Medical Management: Medical Management - Disease management REQUIRED SKILLS - Develop and implement national clinical manag... - Collaborating for Results (Advanced) - Managing Work Processes (Mastery) - Understanding Clinical Impacts (Mastery) - Project Team Management (Mastery) - Identify business, process, system, or policy change requirements (Mastery) - 5 to 10 years of Disease Management experience DESIRED SKILLS - Delegate activities to staff members with appropriate authorities and checkpoints (Mastery) ADDITIONAL JOB INFORMATION Although this position is listed as based in Hartford, applications from anywhere in the country will be equally considered. We value leadership, creativity and initiative.  If you share those values and a commitment to excellence and innovation, consider a career with Aetna.How to apply   To learn more about this opportunity, visit us at http://www.aetna.com/working . Under requisition # select 25267 and submit your resume.   We conduct pre-employment drug and background testing. No agencies, please.   Aetna is an equal opportunity/affirmative action employer