Aetna Network Manager in Wichita, Kansas
Req ID: 45246BR
Provider Network Manager
Negotiates, competitive and complex contractual relationships with providers according to pre-determined internal
guidelines and financial standards. Works cross-functionally to execute network strategies. Maintains accountability for
specific medical cost initiatives.
Effectively negotiates complex, competitive contractual relationships with providers according to prescribed guidelines
in support of national and regional network strategies (*)
Manages provider compensation/reimbursement and pricing development activities (*)
Responsible for understanding and managing medical cost issues and initiating appropriate action (*) Provides sales
and marketing support, community relations and guidance with comprehension of applicable federal
and state regulations
Must possess a successful track record negotiating large hospital system contracts.
Comprehensive understanding of hospital and physician financial issues and how to leverage technology to achieve
quality and cost improvements for both payers and providers.
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Network Management/Provider relations/1-3 Years
Managing Competitive Networks
Benefits Management/Interacting with Medical Professionals
Benefits Management/Promoting Health Information Technology
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