Aetna Network Manager (Provider Contracting) in Plano, Texas
Req ID: 43954BR
This position will sit in the Plano, TX office location OR telework in New Mexico.
*This is not an IT Technology position.
Negotiates, competitive and complex contractual relationships with providers according to pre-determined internal guidelines and financial standards. Works cross-functionally to execute network strategies. Runs reports to review data, identify and maintain accountability for specific medical cost initiatives. Manage network adequacy and filing processes.
Negotiate complex, competitive contractual relationships with providers according to prescribed guidelines
Manages value based provider compensation/reimbursement agreements
Responsible for understanding and managing medical cost issues and identifying and initiating appropriate actions
Provides sales and marketing support
Builds contracts in Strategic Contact Manager (SCM)
Must be able to negotiate contracts with large provider entities
Must demonstrate strong leadership skills
Must have strong understanding of Aetna organization and be able to drive cross functional initiatives
Must have a bachelors degree
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Leadership/Developing and Executing Strategy/ADVANCED
Service/Demonstrating Service Discipline/ADVANCED
Finance/Servicing Customers Profitably/MASTERY
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