Aetna Senior Network Manager in Tampa, Florida
Req ID: 51068BR
Negotiates, competitive and complex contractual relationships with key providers according to pre-determined internal guidelines and financial standards. Works cross-functionally with high level individuals to execute on network strategies. Maintains accountability for specific medical cost initiatives.
-Position will be responsible for key hospital relationships which include maintaining and negotiating healthcare contracts
-Manages work across other departments
-Manages and sets strategy for provider compensation/reimbursement and pricing development activities
-Manages medical cost issues and how to develop and execute action plans
-Negotiates contract language and Initiates legal reviews as needed; ensure all required reviews completed by appropriate functional areas
-Facilitates resolution of complex provider issues
-Strong 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. (Commercial and Medicare)
-Proficient in Microsoft Office including Excel, Word, and PowerPoint
-Risk/Value Based/ACO contracting experience a plus
-Financial analysis experience a plus
-Knowledge of the Tampa/Southwest Florida market a plus
-Ability to work independently and achieve great results
-This position has to be located in the Tampa/Southwest Florida area
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Functional - Network Management/Contract negotiation/7-10 Years
Functional - Network Management/Network market leadership/7-10 Years
Functional - Network Management/Provider relations/7-10 Years
Technical - Desktop Tools/Microsoft Word/7-10 Years/Power User
Technical - Desktop Tools/Microsoft PowerPoint/7-10 Years/Power User
Technical - Desktop Tools/Microsoft Outlook/7-10 Years/Power User
General Business/Demonstrating Business and Industry Acumen/ADVANCED
Benefits Management/Interacting with Medical Professionals/MASTERY
Finance/Servicing Customers Profitably/MASTERY
Service/Creating a Differentiated Service Experience/ADVANCED
ADDITIONAL JOB INFORMATION
This position is in a flexible environment where the focus is on results. There are numerous experts in other functional areas to support this position as well as a solid management team that listens to our front lines on how to be successful in these larger relationships.
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