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A new day in healthcare. Together, CVS Health and Aetna help people on their path to better health.

Director, Network Management

Primary Location: Blue Bell, Pennsylvania
Additional Locations: PA-Blue Bell
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Description:
POSITION SUMMARY
Negotiates, competitive and complex contractual relationships (Participation and Value-based agreements) with large health systems and large physicians groups to be able to meet strategy and customer needs in the future. Works cross-functionally to execute network strategies with a sense of urgency to deliver results. Maintains accountability for specific medical cost initiatives. Assists in managing and supporting the Southeastern PA and Delaware local network team.

Fundamental Components:
- Position will be responsible for strategic provider relationships which include maintaining and negotiating some of the most complex healthcare contracts in the local market. - Position will have focus on value based agreements with ACOs and other provider entities. - Manages other personnel to maintain a wide geographical area. - 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 area. -Facilitates resolution of complex provider issues.

BACKGROUND/EXPERIENCE desired:
Must possess a successful track record negotiating large hospital system contracts.

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

FUNCTIONAL EXPERIENCES
Functional - Network Management/Contract negotiation/4-6 Years
Functional - Management/Management - Network Management/1-3 Years


REQUIRED SKILLS
General Business/Demonstrating Business and Industry Acumen/ADVANCED
Leadership/Developing and Executing Strategy/ADVANCED
Leadership/Engaging and Developing People/ADVANCED


DESIRED SKILLS
Leadership/Creating a World Class Workforce/ADVANCED
Sales/Managing Competitive Networks/MASTERY


Telework Specifications:
Option for telework will be evaluated after a certain period of employment

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 candidates'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.


Potential Telework Position:
Yes

Percent of Travel Required:
10 - 25%

EEO Statement:
Aetna is an Equal Opportunity, Affirmative Action Employer

Click To Review Our Benefits (PDF)

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