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The Lead Director, Provider Portal Strategy & Operations is responsible for the strategic leadership and operational oversight of Aetna's three primary provider portal solutions: Availity Commercial/Medicare Portal, Availity Medicaid Portal, and DentalXchange Dental Portal. This role partners with our DDAT teams to develop the portal strategy and roadmap. Encompasses ownership for performance, vendor relationships, compliance, and team leadership, ensuring the delivery of exceptional provider experiences and operational excellence.
Job Responsibility:
Develop and execute comprehensive portal strategies and roadmaps aligned with prioritized provider experience initiatives and workflow requirements
Oversee portal performance, including file/data processing, system uptime, outage management, defect resolution, and incident response coordination
Manage portal vendor relationships, including contract renewals, administration, invoicing (over $16M), payment processes, and regular business reviews
Ensure ongoing compliance through annual security risk assessments, user entitlement validation, recertification, business continuity planning, and process documentation
Lead cross-functional teams to deliver projects and programs from initiation through completion
Provide leadership and guidance to project and program teams
Requirements:
10+ years of healthcare experience, preferably working with network and provider related operations and strategy
5+ years leading and developing high functioning teams
Adept at execution and delivery (planning, delivering, and supporting) skills
Adept at business intelligence
Adept at collaboration and teamwork
Mastery of problem solving and decision making skills
Mastery of growth mindset (agility and developing yourself and others) skills
Bachelor's degree preferred/specialized training/relevant professional qualification
Nice to have:
Experience with digital portal and/or self-service capabilities
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