Aetna Careers Work From Home Rn, Aetna Remote Nursing Jobs, Aetna Insurance Jobs

Carry your heart to AETNA Wellbeing. All of us at AETNA Wellbeing shares a solitary, clear reason: Carrying our heart to each snapshot of your wellbeing. This reason directs our obligation to convey upgraded human-driven medical services for a quickly influencing world. Moored in our image — with heart at its middle — our motivation sends an individual message that how we convey our administrations is similarly pretty much as significant as what we convey.

Our Heart At Work Behaviors™ support this reason. We need each and every individual who works at AETNA Wellbeing to feel engaged by the job they play in changing our way of life and speeding up our capacity to improve and convey answers for make medical care more private, advantageous and reasonable.

 

Position Synopsis

Aetna Better Wellbeing is Aetna’s Medicaid overseen care plan. Upheld by more than 30 years of involvement dealing with the consideration of those with an expansive exhibit of medical care needs, our Medicaid plans have shown that getting the right assistance when you want bettering health is fundamental. That is the reason Aetna® Medicaid plans incorporate the direction and backing expected to interface our individuals with the right inclusion, assets, and care. We are centered around upgrading quality and populace wellbeing results while incorporating AETN Aresources for carry open medical services to our individuals.

 

** This position is completely remote. Qualified competitors can live anyplace in the US, Illinois occupant liked.

Aetna Better Wellbeing of Illinois (ABHIL) is enrolling for a Leader Chief, Wellbeing Administrations Activities, to be referred to at the wellbeing plan as the Main Wellbeing Administrations Official. This pioneer will answer to the Chief and act as a basic individual from the wellbeing plan initiative group. This job is a companion to the wellbeing plan COO, CFO and CMO in guaranteeing our wellbeing plan wellbeing administrations capability is ideally serious in the IL Medicaid market. As the Main Wellbeing Administrations Official, you will be supposed to keep up with functional greatness through matrixed authority and oversight of our unified clinical administration capabilities, as well just like the wellbeing plan’s well-informed authority in clinical administration activities, including Use The executives, Care The board, Care program improvement and execution, Social Determinants of Wellbeing programs, Conduct Actual Wellbeing mix, and Quality coordination at each level.

 

You’ll have an effect by:

Guaranteeing the association figures out Illinois’ requirements, consistence benchmarks and courses of events. You will work intimately with the association to guarantee the association follows through on these necessities. Addressing the wellbeing intend to shared administrations and the venture extensively.

Administering the examination, the board, execution and staffing for all wellbeing administrations tasks influencing the wellbeing plan.

Supervising the arrangement to an itemized and strong oversight of the exercises of the Quality group to guarantee maximal execution with HEDIS and licenses.

 

Filling in as the SPOC on wellbeing administrations tasks (CM, UM, every connected program) between the wellbeing plan and controllers. This job addresses the wellbeing plan as the wellbeing administrations SME for all outside and administrative partners.

Addressing the wellbeing plan as the wellbeing administrations SME for all Plan-explicit RFP movement.

Driving and banding together with the COO clinical program seller executions and keeping an oversight relationship with all outer clinical program partners.

Catching and conveying to the wellbeing plan pioneers generally inward (AMA, Aetna,) clinical drives to guarantee the Arrangement keeps a strong clinical technique fitting to our market intensity and development objectives.

 

Recognizing the consistence processes expected to guarantee we satisfy all guidelines in our Medicaid, like checking report proprietors and the convenient quality audit of these reports and works with COO and Consistence to guarantee generally consistence of cycles.

Introducing complex ideas to different degrees of administration inside the association.

Filling in as resource for all wellbeing administrations activities, meet with outside partners, like suppliers, depending on the situation.

Supporting AETNA Wellbeing in drawing in, holding, and connecting with a different and comprehensive customer driven labor force that follows through on our motivation and mirrors the networks in which we work, live, and serve.

 

Required Capabilities

The competitor will have major areas of strength for an ethic, be a self-starter, and have the option to be exceptionally useful in a dynamic, cooperative climate. This position offers wide openness to all parts of the organization’s business, as well as huge communication with all the business chiefs.

 

The up-and-comer will be supposed to have the accompanying key ascribes:

10+ long stretches of involvement with clinical administration positions of authority including initiative inside oversaw care associations

5+ long stretches of Medicaid experience, ideally in the Province of Illinois.

Experience with information examination detailing and investigation used to assist with serving oversaw care populaces.

Experience introducing leader level introductions to different inside and outside crowds.

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Solid impacting abilities to really work across many senior partners to drive arrangement and results.

 

Broad experience driving cross-practical drives and driving development.

Experience working with differing levels of contacts, including chief administration, division initiative, ability empowering influences and outer state authorities.

Shown progress in the space of coordinated effort, collaboration, and execution across numerous divisions to convey results.

Solid independent direction, insightful and hierarchical abilities.

Capacity to create and execute key and strategic field-tested strategies.

Capacity to practice sound business judgment to accomplish appropriate harmony among targets and partner commitment.

Show a pledge to variety, value, and consideration through persistent turn of events, displaying comprehensive ways of behaving, and proactively overseeing inclination

 

Favored Capabilities

Enrolled Attendant, ideally in the territory of IL

Illinois state occupant

Collaboration with the state concerning Medicaid programs, contract necessities, revealing, and expectations

 

Instruction

Postgraduate education liked

Specific preparation or pertinent expert capability will be thought of

 

Pay Reach

The normal compensation range for this job is:

This pay range addresses the base hourly rate or base yearly full-time compensation for all situations in the gig grade inside which this position falls. The genuine base compensation proposition will rely upon various variables including experience, training, topography and other pertinent elements. This position is qualified for a AETNA Wellbeing reward, commission or transient motivation program notwithstanding the base compensation range recorded previously. This position additionally incorporates an honor focus in the organization’s value grant program.

 

Notwithstanding your pay, partake in the prizes of an association that places our heart into really focusing on our partners and our networks. The Organization offers a full scope of clinical, dental, and vision benefits. Qualified representatives might sign up for the Organization’s 401(k) retirement investment funds plan, and a Worker Stock Buy Plan is likewise accessible for qualified workers. The Organization gives a completely paid term disaster protection plan to qualified workers, and present moment and long haul incapacity benefits. AETNA Wellbeing likewise offers various prosperity programs, training help, free improvement courses, a AETNA store endlessly rebate programs with taking an interest accomplices. Concerning downtime, Organization workers appreciate Took care of Time (“PTO”) or excursion pay, as well as paid occasions all through the schedule year. Number of paid occasions, wiped out time and other time off are given predictable important state regulation and Company strategies.

 

We expect the application window for this initial will close on:

Qualified candidates with capture or conviction records will be considered for work as per all government, state and nearby regulations.

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