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Job Description

Own financial performance management for Aetna Utilization Management programs, combining business case/value ownership, staffing modeling, analytics, and executive reporting to improve program effectiveness and ROI.

Key Responsibilities

  • Own business case and value for utilization management programs, incorporating program changes, evaluation impact, and ongoing value refinement
  • Lead and build task-based staffing models for utilization management programs
  • Connect staffing models to Aetna Clinical Solutions budgeting and forecasting activities
  • Develop performance review executive reporting that delivers a holistic, end-to-end view of program performance, including program ROIs
  • Establish program optimization framework, delivering insights that drive additional value and improve program effectiveness
  • Lead development and/or collaborate on analytical tools and dashboards with business partners to surface early outcomes and savings
  • Identify potential opportunities that support informed operational decision-making
  • Serve as the primary point of contact for performance management of UM programs
  • Drive knowledge sharing and collaboration on performance management processes across other functional areas

Requirements

  • Advanced Excel skills with demonstrated experience building custom analyses, models, and calculations for ad hoc business needs
  • Ability to synthesize data, apply relevant assumptions and drivers, and create solutions from the ground up (not primarily based on existing templates or recurring reporting)
  • Strong written and verbal communication skills
  • Strong technical, analytical, financial, and data manipulation and visualization capabilities
  • Ability to perform in a constantly evolving environment with competing priorities and deadlines
  • Ability to generate new ideas, think strategically, and creatively solve problems that are not well defined
  • Provide thoughtful leadership and collaboration with internal and external constituents

Required Qualifications

  • 5+ years of analytical and/or Excel modeling related work experience
  • 5+ years of proficiency in Excel and PowerPoint
  • Bachelor’s degree required or equivalent years of related experience

Preferred Qualifications

  • Programming experience with SAS, SQL, and Tableau
  • Advanced Excel skills with demonstrated experience building custom analyses, models, and calculations for ad hoc business needs
  • Ability to synthesize data, apply assumptions and drivers, and build solutions from the ground up

Skills & Tools

  • Excel
  • PowerPoint
  • SAS
  • SQL
  • Tableau

Compensation & Schedule

  • Location: Hartford, CT (onsite)
  • Pay range: USD 60,300 - 145,860 per year
  • Anticipated weekly hours: 40
  • Time type: Full time

Benefits

  • Comprehensive benefits package to support physical, emotional, and financial well-being of colleagues and their families
  • Medical, dental, and vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • Other resources, based on eligibility
  • Eligible for a CVS Health bonus, commission, or short-term incentive program in addition to the base pay range

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