Aetna Network Manager in Wichita, Kansas

Req ID: 45246BR

POSITION SUMMARY:

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.

Fundamental Components::

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

BACKGROUND/EXPERIENCE desired::

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.

EDUCATION:

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

FUNCTIONAL EXPERIENCES:

Network Management/Provider relations/1-3 Years

REQUIRED SKILLS:

Managing Competitive Networks

Negotiating collaboratively

Benefits Management/Interacting with Medical Professionals

DESIRED SKILLS:

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