Senior Clinical Strategist

We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.

As a Senior Clinical Strategist, you will work with assigned Aetna Medicare Provider Collaboration groups to drive improved performance by leading clinical performance improvement projects and managing multiple complex deliverables through to implementation.

Responsibilities:

• Establish trusting relationships with provider partners to promote open communication
• Serve as clinical expert on actionable opportunities related to case management, gap closure, workflow discussions, and partnering with case manager supervisor/manager and case managers
• Serve as internal and external liaison and clinical resource, interpreting data and educating regarding how to utilise data for performance improvement
• Strategize with subject matter experts and clinical teams both internally and externally to drive outcomes and improve efficiencies
• Coordinate and conduct clinically focused meetings to identify opportunities, target and prioritise goals and interventions to close gaps in care and achieve optimal stars performance
• Collaboratively work across multiple functions and/or segments to obtain agreement from all impacted parties
• Collaborate with Engagement Managers, Local Market Team, Data Team, Medical Operations and others on initiatives for Stars/quality improvement

Requirements:

• Registered Nurse with active and unrestricted license in the state of residence
• 4+ years of case management experience
• 3+ years clinical experience
• 1+ year leadership or supervisory experience
• 4+ years of Outlook experience
• 4+ years of Microsoft Power Point experience
• 4+ years of Microsoft Excel experience
• 1+ year of SharePoint experience

Preferred Qualifications:

• Strong communication and interpersonal skills
• Proven track record in meeting project milestones and negotiating for resources
• Proven negotiation skills
• Proven project management skills
• Proven success while working in a matrixed environment
• 1+ year managed care experience
• Creating accountability, developing and executing strategy and driving change

Education:

• Registered Nurse / Bachelor's Degree preferred or equivalent experience

Benefits:

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs

Salary Range: $78,331.00 - $206,206.00