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Director, Care Management

Schaller Anderson

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Job Snapshot

Location:

Indianapolis, IN 46201 ( map it!

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Base Pay:

$95,400 - $123,700 /Year

Employee Type:

Full-Time

Industry:

Healthcare - Health Services

Manages Others:

Job Type:

Health Care
Nurse

Education:

4 Year Degree

Experience:

At least 5 year(s)

Travel:

Negligible

Relocation Covered:

Post Date:

11/3/2009

Contact Information

Ref ID:

27745002_307280935

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.

POSITION SUMMARY
Qualified candidate will be responsible for Care Management department including daily operations, oversight, planning and execution of all initiatives related to the Care Management department; Meeting and implementing all corporate-wide and regulatory initiatives;
Directing and motivating all disciplines; Serving as a resource to the leadership team; Meeting and exceeding State Contractual requirements and obligations.

Analyze healthcare data for trends

Communicate effectively across various cultural groups

Create metrics to measure achievement of the operating plan

Create staffing strategies to support business and financial plans

Identify business, process, system, or policy change requirements

Interpret contracts

Deal decisively with performance problems

Mentor employees to maximize performance

Set individual performance expectations for staff Understanding Clinical Impacts

Provide employees with development opportunities to prepare for career growth

Project Team Management

Requirements REQUIRED SKILLS

Strong analytical skills

Superb communication skills

Experience with business development and RFP preparation and review

Skilled in performance management

Proven leadership record

Skilled in project management

Experience with managed care and Medicaid

Familiarity with complex care management

Successful record of clinical operations

Skilled in quality improvement and regulatory compliance such as HEDIS and EQR

Meet and exceed all regulatory and contract obligations and requirements

Proactively identify and prepare for all business, processes, system and policy changes and requirements

EDUCATION

BSN Degree or equivalent degree

MBA or related degrees highly desired

LICENSES AND CERTIFICATIONS

Active Unrestricted IN license (if applicable)

Nurses: Case Management

Nurses: Concurrent Review/discharge planning

Leadership: Act as company spokesperson to external constituents

Management: Management Multifunctional management :> 25 employees

Leadership: Lead a complex or multifunctional organization

ADDITIONAL INFORMATION
Bonus potential: 15%

We value leadership, creativity and initiative. If you share those values and a commitment to excellence and innovation, consider a career with Aetna.

We conduct pre-employment drug and background testing.
Aetna does not permit the use of tobacco related products or drugs in the workplace. No agencies, please.

Aetna is an Equal Opportunity/Affirmative Action Employer. M/F/D/V

Aetna is committed to maintaining an environment in which all employees are treated equitably and given the opportunity within the context of the business to achieve their potential. Aetna's Affirmative Action responsibilities extend to women, minorities, persons with disabilities and veterans. Company policy also provides for equal opportunity for qualified individuals regardless of race, color, sex, national origin, religion, age, disability, veteran status, sexual orientation, gender identity or marital status.

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