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

Network Manager

Primary Location: Blue Bell, Pennsylvania
Additional Locations: PA-Blue Bell, PA-Philadelphia
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Description:
POSITION SUMMARY
Acts as the primary resource for assigned profile of larger and more complex providers (i.e. market/ regional/national, large group or hospital systems) to establish, oversee, and maintain provider risk management and positive relationships and supports high value initiative activities. Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets.Will have contract negotiation responsibilities for assigned providers.

Fundamental Components:
Negotiates competitive and complex Medicare and Commercial 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 costs initiatives. Completes the necessary steps to ensure that contracts are loaded into systems accurately and timely and manages implementation of new contracts with departments involved. Analyze and refine provider networks to ensure appropriate network composition.

BACKGROUND/EXPERIENCE desired:
Strong communication, critical thinking, problem resolution and interpersonal skills.
5-7 years related experience and comprehensive level of negotiating skills with successful track record negotiating contracts with individual or complex provider systems or groups.
Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/contracting arrangements and regulatory requirements.


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 - Finance/Financial reporting and analysis/1-3 Years
Functional - Leadership/Lead significant enterprise-wide initiative/1-3 Years
Functional - Project Management/Cross-functional project management/4-6 Years


TECHNOLOGY EXPERIENCES
Technical - Aetna Applications/Strategic Contracts Manager/1-3 Years/End User
Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User
Technical - Desktop Tools/Microsoft PowerPoint/1-3 Years/End User
Technical - Desktop Tools///


REQUIRED SKILLS
General Business/Demonstrating Business and Industry Acumen/ADVANCED
Leadership/Developing and Executing Strategy/ADVANCED
Sales/Managing Competitive Networks/MASTERY


DESIRED SKILLS
Sales/Negotiating collaboratively/MASTERY
Service/Demonstrating Service Discipline/ADVANCED
Technology/Selecting and Applying Technology Solutions/ADVANCED


Telework Specifications:
WAH - considered only for locations in Eastern PA/Delaware

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 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%

Click To Review Our Benefits (PDF)

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