Aetna Manager, Network Management (Team negotiates contractual relationships with providers) in Sugar Land, Texas

Req ID: 40233BR

This position will sit in the Sugar Land, TX office location.

*This is not an IT Technology position.

POSITION SUMMARY

Manage team and design, develop, contract, maintain and enhance relationships with facilities, physicians and ancillary providers which serve as contractual networks of care for members; foster growth of managed care products; and enhance profitability of Aetna.

Fundamental Components:

Manage team of staff. Responsible for negotiatingcontractual relationships with providers according to prescribed guidelines. Manages value based provider compensation/reimbursement agreements. Manages provider network demographic updates. Works cross functionally with other departments to support network strategies, maintain provider networks and monitor directory accuracy. Responsible for understanding and managing medical cost issues and identifying and initiating appropriate actions. Provides sales and marketing support. Builds contracts in Strategic Contact Manager (SCM).

BACKGROUND/EXPERIENCE desired:

Must possess a successful track record negotiating agreements Demonstrated ability to manage team Demonstrated ability to be able to drive cross functional initiatives Must have a bachelors degree

EDUCATION

The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

FUNCTIONAL EXPERIENCES

Functional - Network Management/Contract negotiation/1-3 Years

Functional - Network Management/Provider relations/1-3 Years

TECHNOLOGY EXPERIENCES

Technical - Aetna Applications/Strategic Contracts Manager/1-3 Years/End User

Technical - Aetna Applications/Enterprise Provider Database System/1-3 Years/End User

Technical - Aetna Applications/Smart Front End/1-3 Years/End User

REQUIRED SKILLS

Leadership/Developing and Executing Strategy/ADVANCED

Sales/Negotiating collaboratively/MASTERY

Service/Demonstrating Service Discipline/ADVANCED

DESIRED SKILLS

General Business/Demonstrating Business and Industry Acumen/ADVANCED

Leadership/Engaging and Developing People/ADVANCED

Service/Creating a Differentiated Service Experience/ADVANCED

ADDITIONAL JOB INFORMATION

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Job Function: Health Care