Lead Director - Clinical Innovation, Analytics Delivery
Core
Define and drive the strategic analysis portfolio, enterprise transformation priorities, and Utilization Management (UM) automation strategy within Aetna's Clinical Solutions business unit.
Role type
Senior leadership (Lead Director) in strategic analysis and UM modernization
Builds
Enterprise transformation initiatives and UM automation strategies
Domain
Health insurance / Utilization Management / Strategic Analytics
Deliverable
dashboards & analysis
Required skills
Strategic planning, business analysis, portfolio management, financial analysis, data synthesis, automation strategy, AI/ML integration, stakeholder influence
Preferred skills
Generative AI, machine learning, NLP, workflow orchestration, executive relationship management, enterprise portfolio management
Technologies
SQL, Python, cloud-based data platforms, business rules engines, decision support technologies
Responsibilities
Evaluate UM performance and emerging technologies to identify opportunities for clinical and operational improvement; Lead development of strategic analyses and business cases to shape UM strategy; Drive strategic portfolio planning for UM modernization; Partner with Clinical, Product, and Technology teams to execute a multi-year modernization roadmap; Lead identification and implementation of automation opportunities leveraging AI and predictive analytics; Develop and monitor KPIs and dashboards to quantify impact of transformation initiatives; Provide strategic oversight for innovation pilots and transformation initiatives; Manage and develop a high-performing team.
Seniority
Senior, hands-on IC with leadership responsibilities
