Aetna Network Account Manager in Boise, Idaho
Req ID: 43955BR
Recruit providers in the Oregon and SW Idaho markets to join Aetna's network of providers for commercial and government plans. Develop strong relationships with existing key network providers. Collaborate with internal business partners leading to the achievement of provider and member satisfaction, medical cost and network efficiency targets and membership growth.
Recruits and negotiates contracts with providers on behalf of the company. (30%) Interacts with networks key physician groups, Integrated Delivery Systems, and hospitals to facilitate solutions that are mutually beneficial for providers and the company. (20%) Collaborates cross-functionally on complex issues to ensure provider needs are met and issues are resolved. (30%) Consistently monitors Aetna service capabilities to collaboratively ensure that provider constituents needs are met. Seeks to optimize provider interaction and provides recommendations based on balance of provider needs and Aetnas objectives. (10%) Collaborates cross-functionally to resolve customer network related issues. (5%) Manages medical cost drivers and executes specific medical cost initiatives to support financial and medical cost objectives. (5%)
2-5 years provider relations and contracting experience.
Proven ability to synthesize and translate information into decision-making process.
Excellent written and oral communication skills.
Strong project management capabilities.
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Physician recruiting - medical/1-3 Years
Provider relations/1-3 Years
Technical - Aetna Applications/Enterprise Provider Database System/1-3 Years
Microsoft Outlook/1-3 Years
Microsoft Word/1-3 Years
TE Microsoft Excel/1-3 Years
Sales/Managing Competitive Networks
Service/Improving constituent-focused Processes
Service/Providing Solutions to Constituent Needs
General Business/Demonstrating Business and Industry Acumen
Leadership/Collaborating for Results/
Technology/Selecting and Applying Technology Solutions
Candidates should be located in Washington or Oregon. A training period in the Seattle office is required.
ADDITIONAL JOB INFORMATION:
Join an experienced team of professionals focused on improving provider and member satisfaction in Aetna's Pacific Northwest Markets (OR, WA, ID, AK).
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