Aetna Director of Contracting in Minneapolis, Minnesota
Req ID: 51620BR
An exciting opportunity within our Aetna Joint Venture area specifically working with our Allina / Aetna Health Joint Venture in Minnesota. Responsibilities include Design, develop, contract, maintain and enhance financial and Value Based relationships with facilities, physicians and ancillary providers which serve as contractual networks of care for Allina / Aetna Health members; foster growth of managed care products; and enhance profitability of Aetna.
Develops Contracting Strategy for all Hospital, and provider contracting activities.
Responsibility for overseeing the negotiation of complex Hospital / Physicians Contracts.
Directs the establishment of rates, incentives ,fee schedules and reimbursement programs.
Manage provider contract support functions including the development of boiler plate contracts and state filings; contract support, review & approval; and COLA and other contract tracking
Ensure the maintenance and integrity of the local provider data base tracking tools.
Manage the development and delivery of training programs for all aspects of network management and provider contracting operations
Provide network contracting support and information analysis to ensure the development of cost-effective provider contracts
Be accountable for team objectives, budget, financial results and objectives
Select and build strong functional teams through formal training, diverse assignments, coaching, mentoring and performance management
Formulate and implement strategy for the organization/unit to meet objectives and other business initiatives
Develop and influence changes/enhancements to business processes, policies and infrastructure to improve operational efficiency
Develop and set provider network policy and guidelines; review and execute negotiated provider agreements
Provide advise and guidance to Senior Management and JV leadership on health delivery issues ensuring market compliance with company contracting policies/methodologies
Mentor all Health Delivery Network management staff in performing their responsibilities to include Network Medical Directors, Network Managers and Directors of Provider Relations
Act as liaison to legal, finance and core health delivery department to facilitate effective interaction with regional/local market health delivery teams 1
Manage and/or participate in selected projects and company initiatives
Exercises sound judgment in decision-making
Makes decisions in a systematic way that focus on department/business objectives
Sets specific, challenging and achievable objectives and action plans
Major program development experience in support of network management and provider contracting operations.
Substantial financial management background.
In-depth knowledge of managed care business and healthcare environment.
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Telework is a requirement for this position (no physical office location)
The candidate would reside in the Minnesota area
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