Aetna Engagement Manager in Sugar Land, Texas

Req ID: 43918BR

This position will sit in our Sugar Land, TX office location.

POSITION SUMMARY

The Engagement Manager is the primary person responsible for the provider relationship and the overall performance of these accounts, including the achievement of financial, product, technology, clinical, and operational ACO goals, including implementing contractual VBC arrangements and supporting on-going operations.

Fundamental Components:

Develops mutually beneficial end-to-end relationships with specified provider accounts by directing implementation and operations of the VBC arrangement and by actively managing provider relations.

Operationalizes terms of VBC contract (e.g., installation and operation of care transformation programs, technological systems) by leveraging cross-functional groups to provide solutions and materials to respond to provider concerns, queries and requests.

Establishes, influences, and manages internal cross-functional and external provider relationships to support these activities.

Seeks to optimize customer interaction, anticipating customer needs and acting as the voice of the customer internally, providing recommendations based on customer needs.

Coordinates and monitors performance of VBC arrangement and identifies opportunities for improvement to ensure arrangement is achieving performance guarantees and ACS clinical and financial goals.

BACKGROUND/EXPERIENCE desired:

5+ years of hospital system and/or health insurance industry experience, ACO / managed-care experience preferred

3+ years of client management

3+ years of project management experience in a health plan, health system or provider organization

Strong strategic consulting experience with either a provider or payer.

EDUCATION

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

FUNCTIONAL EXPERIENCES

Functional - Network Management/Contract negotiation/4-6 Years

Functional - Network Management/Provider relations/4-6 Years

Functional - General Management/Data analysis & interpretation/4-6 Years

Functional - General Management/Process & quality improvement/1-3 Years

TECHNOLOGY EXPERIENCES

Technical - Desktop Tools//4-6 Years/End User

ADDITIONAL JOB INFORMATION

Must have bachelor's degree

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: Management