Aetna Network Manager in Spokane, Washington

Req ID: 43956BR

POSITION SUMMARY:

Network Manager to support Medicare Advantage market expansion through network development and management. The successful candidate with work with a high performing team working on creating competitive advantage and high customer value. This is a great opportunity for an experienced network manager to leverage their successful contracting experience to position Aetna in the NW and build a lasting career with a large national health plan.

Fundamental Components:

The position will be responsible for maintaining a large portfolio of provider agreements including professional and facility organizations. The position will be responsible for building and maintaining productive relationships with these providers while achieving company goals relating to rate trend and improvement, migration to value based payment, and improving risk scores and Star Ratings. The position will also play a role in supporting Medicare Advantage membership growth and retention.

BACKGROUND/EXPERIENCE desired:

Must possess a successful track record negotiating professional and large hospital system contracts. Ability to develop and nurture productive relationships with providers, brokers, and management staff. Knowledge of emerging performance based contracting models. Strong analytical abilities with knowledge and experience working with providers to improve Star Ratings and Risk Scores.

EDUCATION:

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

FUNCTIONAL EXPERIENCES

Contract negotiation/4-6 Years

Physician recruiting - medical/4-6 Years

Network market leadership/1-3 Years

Telework Specifications:

Full-Time Telework (WAH)-Have to be close to an Aetna office.

ADDITIONAL JOB INFORMATION:

Experienced network professional needed to join a high performing team responsible for retaining and growing a market leading provider network in the Northwest with a focus on Washington and Oregon. Aetna is national leader in Accountable Care payment and product models looking to expand its offerings in the NW market.

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