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Aetna is now a CVS Health Company

VP, Network National Partner Strategy

Primary Location: Blue Bell, PA
Additional Locations: PA-Blue Bell
The National Network Partner Strategy leader will be responsible for developing future focused enterprise wide contracting strategies optimizing our national network products to deliver profitable growth. This includes but is not limited to, development of contract strategy, negotiation, analysis and administration of all fee-for-service and risk/incentive-based payor contracts S/he will be a thought leader providing the National organization and Markets with strategic and operational leadership as well as driving the negotiations and implementation of national contracts totaling over $65 billion.

The leader will represent the Company externally and be known as the expert for National Contracts (e.g., Tenet, HCA, etc.). S/he will be responsible for developing the key messages and talk points to the external community and represent the Company at key meetings, conferences and negotiations.

As the National leader, s/he will develop quality, cost competitive networks aligning Commercial and Government products to drive profitable growth. S/he will work across the organization and with Shared Services to create leading edge measurement tracking and root cause analysis mitigating risk exposure and driving enhanced performance. S/he will lead the organization in innovation of payor contracts that advances efforts to move toward more value-based reimbursement while ensuring the financial integrity of the contracts and minimizing risk. Working closely with Provider Services, s/he will ensure a streamlined provider experience for over 1.6 million providers and 266,000 contracts.

The leader will foster tighter alignment, integration and shared goals with the Markets organization and our national Network Strategy and Provider Experience organization. Additionally, s/he will manage a diverse team of highly skilled network managers, contract negotiators and other professionals.

Fundamental Components:
Responsibilities include but are not limited to oversight and leadership of the following:
  • National Contract Execution
    • Ancillary- Lab, Dialysis, Home Health/DME, SNF
    • National Hospital Contracting
  • National Network Management
    • Institutes of Excellence (IOE) & Institutes of Quality (IOQ)
    • Rental Networks
    • Traditional Medical Networks
  • National Non-Par Cost Management
    • Ownership of Enterprise non-par strategies- holistic view of FI & SI business
    • National Advantage Program (NAP) and Data iSights
    • Single Case Negotiations
  • Provider Litigation Oversight & Coordination
  • Legal/Government Affairs Oversight & Coordination
  • Management of Gene based, Cellular and other innovative therapies

Background Experience:
  • A minimum of 15 years of healthcare experience including contracting, medical economics and field or national network experience.
  • Experience contracting with large national vendors.
  • Strong presentation and communication skills; ability to consult as well as negotiate
  • Strong analytical skills including root cause analysis
  • Skilled at collaborating and working across a complex matrixed organization
  • A Bachelor’s degree or equivalent experience is required; a Master’s degree preferred.

Potential Telework Position:

Percent of Travel Required:
25 - 50%

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

Benefit Eligibility:
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Candidate Privacy Information:
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.

Click To Review Our Benefits (PDF)


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