Medical Director (Healthcare Management)

We are seeking a dynamic and experienced individual to join Aetna as our Medical Director for Healthcare Management. In this role, you will have the opportunity to lead and shape the healthcare management strategy for our organization, ensuring the delivery of high-quality, cost-effective care to our members. As a crucial member of our leadership team, you will have the opportunity to make a meaningful impact on the lives of our members and our business. We are looking for a highly motivated, collaborative, and innovative leader with a strong background in healthcare management and a passion for improving healthcare outcomes. If you are ready to take on a challenging and rewarding role, we encourage you to apply for this exciting opportunity.

1. Develop and implement the healthcare management strategy for the organization to ensure the delivery of high-quality, cost-effective care to members.
2. Collaborate with other leaders to establish and achieve organizational goals and objectives related to healthcare management.
3. Make data-driven decisions and recommendations to improve healthcare outcomes and member satisfaction.
4. Provide leadership and direction to the healthcare management team, including hiring, training, coaching, and performance management.
5. Stay up-to-date on industry trends, best practices, and regulations related to healthcare management to inform decision-making.
6. Develop and maintain relationships with key stakeholders, including providers, vendors, and internal departments, to support the success of the healthcare management strategy.
7. Monitor and analyze healthcare trends and utilization patterns to identify opportunities for cost savings and quality improvement.
8. Collaborate with cross-functional teams to develop and implement new programs and initiatives to positively impact member health outcomes.
9. Ensure compliance with all applicable laws, regulations, and policies related to healthcare management.
10. Represent the organization at industry conferences and events to stay informed and network with other healthcare management professionals.
11. Act as a mentor and coach to team members, fostering a culture of continuous learning and development.
12. Prepare and present reports to senior leadership on the performance and progress of the healthcare management program.
13. Continuously evaluate and improve processes and workflows to increase efficiency and effectiveness.
14. Serve as a subject matter expert on healthcare management and provide guidance and support to other departments as needed.
15. Uphold the organization's values and promote a positive and inclusive work environment.

According to JobzMall, the average salary range for a Medical Director (Healthcare Management) in Philadelphia, PA, USA is $270,000 - $300,000 per year. This may vary depending on the specific job responsibilities, level of experience, and the size and location of the healthcare organization. Some Medical Directors may also receive additional benefits such as bonuses, stock options, and insurance coverage.

Aetna Inc. is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare. Since November 28, 2018, the company has been a subsidiary of CVS Health.