Aetna

Senior Manager, Medicaid Provider Data Services

Aetna

Remote
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Are you a highly skilled and experienced leader with a passion for healthcare and data management? Do you thrive in a fast-paced, dynamic environment where you can make a significant impact? If so, Aetna has an exciting opportunity for you as our Senior Manager of Medicaid Provider Data Services. In this role, you will be responsible for overseeing the management and accuracy of provider data for our Medicaid business. We are looking for a driven and detail-oriented individual who can effectively collaborate with cross-functional teams, drive process improvements, and ensure compliance with regulatory requirements. If this sounds like a role you were born to excel in, we want to hear from you!

  • Oversee the accuracy and integrity of provider data for Aetna's Medicaid business
  • Collaborate with cross-functional teams to ensure efficient and effective management of provider data
  • Develop and implement process improvements to enhance data management processes
  • Ensure compliance with all regulatory requirements related to provider data
  • Manage and mentor a team of data specialists to support provider data management
  • Monitor data quality and identify and address any discrepancies or errors
  • Develop and maintain relationships with key stakeholders, including Medicaid providers and regulatory agencies
  • Analyze data trends and provide insights to inform business decisions
  • Stay current on industry trends and best practices in data management and healthcare regulations
  • Lead projects related to provider data management, including system enhancements and data migration initiatives.
Where is this job?
This job opening is listed as 100% remote
Job Qualifications
  • Minimum Of 7-10 Years Of Experience In Healthcare Data Management Or Related Field.

  • In-Depth Knowledge Of Medicaid Regulations, Policies And Procedures.

  • Strong Leadership Skills With Experience Managing And Developing A Team.

  • Excellent Analytical And Problem-Solving Abilities.

  • Proven Track Record Of Effectively Managing Large-Scale Projects And Meeting Deadlines.

Required Skills
  • Process Improvement

  • Strategic Planning

  • Project Management

  • Data Analysis

  • Contract Negotiation

  • Budget management

  • Relationship Building

  • Compliance Knowledge

  • Team Leadership

  • Stakeholder management

  • Medicare

  • performance tracking

Soft Skills
  • Communication

  • Conflict Resolution

  • Customer Service

  • Emotional Intelligence

  • Leadership

  • Time management

  • creativity

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Senior Manager, Medicaid Provider Data Services is $110,000 to $160,000 per year. This can vary depending on factors such as location, experience, and specific job duties.

Additional Information
Aetna is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedMarch 13th, 2025
Apply BeforeMarch 12th, 2026
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About Aetna

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.

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