Aetna Project Manager in Seoul,

Req ID: 37141BR

Optical Character Recognition (OCR): advise on data analytics requirements of automatically reading scanned images of health insurance claims documents, extract, validate and correct the data; Aetna Data Hub (ADH): a workstream to guide integration, standardization (e.g. standardize procedure codes), quality manage, store and extract health insurance data; Measure Framework (MF): a workstream to investigate further SFM s health insurance data for quickwins, and support SFM by prototyping and specifying enriching it to increase its value; Member 360 (M360): a workstream to advise SFM on the optimal specification, design and use of a health insurance data mart for medical cost and fraud management and related reporting, and to help them build the data mart; Data Governance and business processes workstreams to advise and support implementation of Aetna s best practice as it related to SFM for data entry, quality management, reporting, and governance. In partnership with the business and technical leads, this project manager will set strategic direction and plan for the team, aligning with client and suppliers complex plan. Has full oversight for all aspects of Aetna s deliverables related to the project. The project manager will also be solely responsible for tracking Aetna s project status, completion, administration and keeping the documents and work streams organized, on time and delivering results at the highest quality. Sets the direction of the project and translates into plans and actions for staff/others Standard Operating Procedures and easy to use guidance on Aetna s Project Management processes. On-boarding and induction training Influences all stakeholders to support key projects/programs to ensure positive outcomes that deliver on results Drives change in order to improve performance results, organization effectiveness and/or systems/quality/services (e.g., policies, processes or systems) Identifies gaps in processes or organization and works with team to develop and implement solutions. Ensures accurate prioritization of key projects/programs Has ultimate accountability for project management services being delivered including organization s budget and/or financial implications

Job Function: Management