Aetna Network Market Head - 49645BR in Arlington, Texas
Req ID: 49645BR
A senior level position within our Joint Venture area responsible for all network strategies including value based agreements, network negotiations with the most complex and challenging contractual relationships with providers and with JV partner. Works cross-functionally with markets to ensure consistency with all contracting strategies. Maintains overall accountability for medical cost management. Maintain a strong relationship with the Joint Venture executive suite and provide oversight of the overall performance of the Joint Venture Network(s).
Formulates the overall network strategy used to manage medical costs for the THA Joint Venture. (*)
Optimize Joint Venture executive team through providing network recommendations based on Joint Venture strategic Network contracting goals.
Provider oversight of the Contracting team and Provider servicing managers with setting contracting goals and ongoing education and VBC solutions with Network providers
Responsible of all VBC contracting strategy, implementation and on-going operations
Negotiates complex, competitive provider contracts within the JV network with JV partner and all key providers types, (IPA/PHO, Large Physician groups, Ancillary and health systems. (*)
Manages providers' compensation / performance and ongoing pricing development activities for JV. (*)
Designs, develops, manages, and/or implements strategic network configurations. (*)
Supervises day-to-day operations of network management teams including all Provider Relations and contract negotiating staff. Responsible for hiring, training and firing local/regional staff. (*)
Provides network strategy support to sales and marketing along with assistance on community relations related items when required. (*)
Must have an entrepreneurial mind set, adaptable to change, background in VBC programs, and possess a successful track record negotiating large hospital system contracts.
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Considered only for locations in a specific region, state, or city; training period in the office may be required
Area: Dallas, Fort Worth or Arlington, TX
ADDITIONAL JOB INFORMATION
In-depth knowledge of Commercial and Medicare managed care business, Value based contracting, strategy and objectives.
Comprehensive understanding of hospital and physician financial issues and how to leverage technology to achieve quality and cost improvements for both payers and providers.
Solid leadership skills including staff development.
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.
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Job Function: Health Care