Senior Network Manager (63182BR)Primary Location: Chicago, IL
Additional Locations: AZ-Phoenix, IL-Chicago, TX-Dallas, TX-Houston Apply
Corporate position working with local market teams to drive outcomes and performance for Aetna's Value Based Contracts (VBC). Acts as a strategic consultant to drive VBC performance outcomes both at the market and specific VBC level as well as trains and educates local markets on Aetna's performance improvement process, tools, and resources.
This position can be located in any Aetna Office in any state.
Works with local markets to ensure mutually beneficial VBCs by consulting on the opportunities, operational design, and implementation of the business strategy while promoting the objectives of improving health care outcomes and increasing patient quality and value. Consults on the strategic vision and tactical plans for VBC relationships. Has accountability for the success of assigned markets' VBCs, including strategic alignment, reference ability, deliverables, and financial and operational success, as measured by both the VBC and by Aetna. Responsible for working on all value-based performance aspects of the engagement/VBC relationship with a team of highly matrixed cross-functional resources. Works with the VBC’s executive leadership to ensure financial, technology, clinical, and operational goals are achieved. Defines, organizes, influences, and/or leads a team of various internal, and external resources to implement projects and strategies that advance Aetna's VBC relationships. Collaborates cross-functionally to monitor and optimize VBC performance including clinical, quality, capabilities, and growth as well as financial goals. Looks for ways to enhance the solution within the assigned VBCs to include identifying new functionality, programs, products, services and technology to ensure better outcomes and achievement of program objectives.Background Experience:
Strong communication, critical thinking, problem resolution and interpersonal skills. 7+ years related experience and expert level skills in population health management, payer contracting especially for value-based agreements, and/or provider relations. Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/contracting arrangements and regulatory requirements. Previous project management experience in a health plan, health system, or provider organization. Proven ability to interact with, influence, and collaborate with clients at all levels. Master's preferred.Percent of Travel Required: 0 - 10% 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.
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