Aetna Senior Network Manager (Physician Groups, Hospitals - Contract Negotiation/Value-Based Contracting) in Urbandale, Iowa
Req ID: 39010BR
This position will sit in the Urbandale, IA office location.
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; implement/maintain value based arrangements and enhance profitability of Aetna.
Effectively negotiates complex, competitive contractual relationships (primarily value based arrangements) with providers according to prescribed guidelines in support of national and regional network strategies.
Manages provider compensation/reimbursement and pricing development activities
Regularly interfaces with provider to facilitate implementation / maintenance of provider servicing activities and to respond to provider requests / concerns
Responsible for understanding and managing medical cost issues and initiating appropriate action
Assist with the design, development, management, and/or implementation of strategic network configuration
8+ years of hospital system and/or health insurance industry experience, Value Based/ACO/managed-care experience preferred
5+ years of project management experience in a health plan, health system or provider organization
Proven ability to influence and collaborate with providers at all levels
Proven track record managing complex negotiations, projects and programs result in cost savings
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Functional - Network Management/Contract negotiation/7-10 Years
Functional - Sales & Service/Complex negotiations/4-6 Years
Technical - Desktop Tools/Microsoft Outlook/4-6 Years/End User
Technical - Desktop Tools/Microsoft PowerPoint/4-6 Years/End User
Technical - Desktop Tools/Microsoft Word/4-6 Years/End User
General Business/Demonstrating Business and Industry Acumen/ADVANCED
Leadership/Developing and Executing Strategy/ADVANCED
Benefits Management/Promoting Health Information Technology/ADVANCED
General Business/Turning Data into Information/MASTERY
ADDITIONAL JOB INFORMATION
Ideal candidate must also have the following:
Comprehensive understanding of hospital and physician financial issues and how to leverage technology to achieve quality and cost improvements for both payers and providers.
Good interpersonal and communication skills and ability to form strong client relationships.
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.
Job Function: Health Care