Aetna Senior Network Manager (NH/ME Markets) in South Portland, Maine
Req ID: 50393BR
Do you want to be part of the change in Healthcare? Aetna is seeking an individual who is passionate, team player, who has a successful track record negotiating contracts with large or complex provider systems. An individual who has working knowledge of provider financial issues, complex contracting options, financial/contracting arrangements and regulatory requirements. The Senior Network Manager position will be joining a welcoming, fast paced, friendly and knowledgeable team providing the opportunity to have a leadership and external facing position with large healthcare systems in the Maine and New Hampshire markets. The Senior Network Manager is responsible for complex healthcare systems contracting in the Commercial and Medicare healthcare industry, advancing the relationships of these complex healthcare system and working closely with the system to insure improved performance and quality of care outcomes for these systems.
Fundamental Components:· Subject matter expert in negotiations, contract drafting· Expert understanding of legal language· Subject matter expert of industry standards and Bureau of Insurance compliance issues in strategic contracting at the complex level· Able to understand performance and outcomes of healthcare systems deliverables· Expert level skills in financial analysis of provider results· Demonstrates the ability to advance collaborative relationships at the executive levelBACKGROUND/EXPERIENCE desired:· Outstanding communication, critical thinking, problem resolution and interpersonal skills· 7+ years related experience and expert level negotiation skills with successful track record negotiating contracts with large or complex provider systems· Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/contracting arrangements and regulatory requirementsEDUCATION
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Functional - Legal//
Functional - Network Management/Contract negotiation/7-10 Years
Functional - Project Management/Cross-functional project management/7-10 Years
Technical - Computer Operations//7-10 Years/
Leadership/Engaging and Developing People/FOUNDATION
Flexible telework schedule, part time in South Portland, ME (ex: 2 days office-based, 3 days telework)
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