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Network Relations Manager

Primary Location: Cincinnati, OH
Additional Locations: KY-Louisville, OH-Cincinnati
Develops strong relationships with network providers and internal business partners leading to the achievement of provider satisfaction, medical cost targets, network growth and/or efficiency targets. Maintains provider risk management and positive relationships.

Fundamental Components:

Executes strategic components of the HCD business plan for the market. Coordinates with constituents on medical cost and membership growth and network fortification initiatives. Communicates with external constituents and effectively engages the provider community, demonstrating the Aetna value proposition. Negotiate
contracts on behalf of the company. Manages medical cost drivers, executes specific medical cost initiatives to support financial, medical cost objectives. Proactively identifies new trends and products within Aetna and the
industry and works to raise awareness throughout the organization in order to gain consensus on action and drive to implementation. Consistently monitors Aetna service capabilities to collaboratively ensure that provider constituent’s
needs are met. Seeks to optimize provider interaction, provides recommendations based on provider needs and Aetna’s objectives. Responsible for developing and maintaining relationships with physician and business leadership of key physician groups, ancillary providers, and delivery systems. Interacts with large, high profile physician groups, IPAs, PHOs and hospital systems to facilitate solutions that are mutually beneficial for both providers and the
organization. Collaborates cross-functionally on more complex issues to ensure provider needs are met and outstanding issues are resolved. Collaborates with internal team members on the implementation of large, high profile physician groups, IPAs, PHOs and hospital systems to ensure a positive business

Background Experience:
Proven ability to synthesize and translate competitive intelligence into decision-making process. Multi-functional experience 2-5 years industry experience. (Medical Cost Drivers and Managed Care Industry) Working knowledge of provider business operations (PRL) Analytical/data driven decision-making skills Presentation
skills Strong analytical and written/oral communication skills.

Additional Job Information:
This is a rewarding, fast
paced role in a dynamic organization.

Required Skills:
Finance - Creating Profitable Partnerships, General Business - Turning Data into Information, Service - Providing Solutions to Constituent Needs

Desired Skills:
Finance - Delivering Profit and Performance, General Business - Demonstrating Business and Industry Acumen, Leadership - Collaborating for Results

Functional Skills:
Communication - Translating & Interpreting

Potential Telework Position:

Percent of Travel Required:
10 - 25%

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

Click To Review Our Benefits (PDF)


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