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Clinical Program Consultant (Dedicated, TX)

at Aetna Inc.

Posted: 7/31/2019
Job Reference #: 65946
Keywords: consulting

Job Description

Job Description
Excellent opportunity for an experienced clinician with a passion for consulting to leverage clinical, analytic and consultative skills to join our team of Clinical Program Consultants (CPC) who offer clinical insights and solutions to help improve health plan performance for our plan sponsors. Highly collaborative position and professional environment working with the account team, Aetna's clinical operation teams and our Plan Sponsor Insights team of consultants to support a large TX-based employer to proactively brings insights and solutions to the customer, relating data results to strategies and actions. 

Clinical Program Consultants are key members of the Plan Sponsor Insights (PSI) business - a business focused on providing insights and solutions based on analytics to customers in the group commercial business. The work environment supports and thrives on out-of-the box thinking, creative talent and a consultative approach. Our team is highly valued by our internal partners as well as the customers we serve.


Job Group

Full or Part Time
Full Time

Supervisory Responsibilities

Percent of Travel Required
10 - 25%

Posting Job Title
Clinical Program Consultant (Dedicated, TX)

Potential Telework Position

Additional Locations
TX-Austin, TX-Dallas, TX-Houston

Primary Location (City, State)

EEO Statement
Aetna is an Equal Opportunity, Affirmative Action Employer

Resource Group

Additional Job Information

Telework Specifications:
Eligible for telework opportunity with the understanding that candidate will need to be able to work on the client site in Texas throughout the year as needed and come into the Aetna offices for meetings, trainings, and strategy sessions. Austin, Houston, Dallas are the preferred cities for recruiting candidates.

This role requires travel that can peak at certain times throughout the year; estimated at 0-25% travel

If candidate is not currently WELCOA certified they will need to complete this certification once in the role.


Fundamental Components
Provide consultative clinical support based on analysis and identification of key drivers of results

Recommend clinical programs and services that align with the customer's strategy and help drive short and long term results

Develop and present clinical content and recommendations in customer facing meetings

Act as a trusted clinical resource providing clinical program guidance

Collaborate across the enterprise and with clinical operations

Provide input to the design of clinical solutions

Stay current on, and share knowledge of, population health trends

Background Experience
  • Registered Nurse (RN) License; Required
  • Minimum of 5 years clinical experience (may be a combination of different sites of care practice including: hospital, clinic, and/or community health) - Preferred
  • 1+ years of Healthcare Consultation Experience working with External Constituents; Required
  • 1+ years Leadership experience; Preferred
  • Experience working with a Health Insurance Carrier
  • Strong problem-solving skills and attention to detail.
  • Strong clinical analytic skills and demonstrated conceptual thinking
  • 1+ years of experience in, and knowledge of, the healthcare industry and market; Required
  • 1+ years of experience with medical management products, programs and services; Required
  • Excellent proactive consultative, communication and presentation skills (ability to take complex content and facilitate understanding for the audience).
  • Ability to establish highly collaborative relationships within and outside the organization

Required Skills
Benefits Management - Understanding Clinical Impacts, General Business - Communicating for Impact, General Business - Consulting for Solutions, General Business - Demonstrating Business and Industry Acumen, General Business - Turning Data into Information

Desired Skills
General Business - Applying Reasoned Judgment, Leadership - Anticipating and Innovating, Leadership - Driving Change

Minimum Functional Experience
Clinical / Medical - Consultative informatics, Clinical / Medical - Sales, Leadership - Act as company spokesperson to external constituents, Nursing - Case Management, Nursing - Disease management

Minimum Technical Experience
Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft PowerPoint, Desktop Tool - Microsoft Word, Desktop Tool - TE Microsoft Excel

Minimum Education Level
Nursing - Registered Nurse (RN)

Benefits Program
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Candidate Privacy Information
Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests