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, UM automation strategies, and strategic analysis portfolios
Domain
Health insurance / Managed care / Utilization Management
Required skills
Strategic planning, business analysis, portfolio management, financial analysis, data synthesis, business case development, stakeholder influence, team leadership, regulatory knowledge, automation strategy
Preferred skills
Generative AI, machine learning, natural language processing, decision engines, workflow orchestration, executive relationship management, health domain certifications
Technologies
SQL, Python, cloud-based data platforms, business rules engines, decision support technologies, APIs
Responsibilities
Evaluate UM performance and market trends to identify opportunities for clinical and operational improvement; Lead development of strategic analyses and business cases to influence executive decision-making; Drive strategic portfolio planning for UM modernization; Partner with cross-functional teams to execute a multi-year UM 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
Director, strategic leadership & team management