Sr. Principal Clinical Leader - Aetna MI and IL Integrated Plans - RN or BH
Core
Strategic leadership and operational oversight for clinical care management across Aetna's Michigan and Illinois Integrated Plans, managing a complex regulatory environment and a team of 500+ staff.
Role type
Sr. Principal Clinical Leader (Care Management)
Builds
Clinical care management programs, operational workflows, and vendor partnerships for government programs (Medicare/Medicaid).
Domain
Health Insurance / Managed Care / Behavioral Health & Nursing
Required skills
Strategic leadership, Care Management operations, regulatory compliance (CMS/federal/state), team management, change management, vendor relationship management, cost savings, quality improvement.
Preferred skills
Data synthesis, program performance evaluation, clinical outcome analysis.
Technologies
Care management technology platforms, workflow tools.
Responsibilities
Lead strategic growth of care management capabilities; develop and implement program strategies meeting business and regulatory requirements; manage relationships with state authorities and vendors; lead a high-performing team across multiple geographic markets; oversee workforce planning and operational readiness for system migrations.
Seniority
Principal, strategic leadership & large-scale operations
