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Sr. Engagement Manager

Primary Location: Hartford, Connecticut
Additional Locations: CT-Hartford
This is a Full-time Hartford Office based or Telework position. Candidate needs to reside in CT. Candidates residing in Massachusetts or Maine will also be considered. The Engagement Manager is a critically important role within Aetna's value based contracting efforts. This position works daily with key health systems and physician organizations to manage advanced Accountable Care Organization relationships for both Commercial and Medicare populations. The position supports the business by recommending appropriate actions, strategies and/or alternatives to meet business needs. Has responsibility for leading/managing all aspects of a project and or program such as planning, coordination, development, implementation including the financial implications while prioritizing work, resources and time. Ensures the end state of the project and/or business operations meets business objective(s) and that all deliverables and due dates are met. Highly collaborative process often managing relationships across the segments or multiple functional areas.

Fundamental Components:
The Commercial/Medicare Sr. Provider Engagement Manager will report to the Sr. Director of Value Based Care and will own accountability for multiple Commercial/Medicare Provider Collaborations. These are the most important provider relations that Aetna has in the New England Market. The Engagement Manager is responsible for coordinating all types of account servicing in order to implement, maintain operations, and realize benefits according to the value-based contract (VBC) arrangement. Through active client management, systemic analyses, and consultancy, he/she ensures the achievement of financial, clinical, and operational VBC goals.

The Sr Engagement Manager will meet with groups on a regular basis to handle provider requests and concerns while managing routine servicing operations to realize the terms of the VBC and responding to ad-hoc requests and issues raised by providers and Aetna. He/she will coordinate cross-functional groups across the wider Aetna organization to carry out these servicing activities. He/she works to ensure that the providers collaborations are functioning successfully and the VBC arrangement is working to improve quality of care while reducing costs. In addition, this individual will work collaboratively with the Aetna local and National Network, Operations, Sales and other teams in the development, coordination, execution and management of Commercial/ Medicare Network Provider Collaboration strategies in defined geographies to support commercial and Medicare Advantage growth and performance improvement opportunities. Drive success in the Aetna Commercial/Medicare Provider Collaboration Program by: - Actively managing the relationships with the provider groups - Coordinating cross functional teams of care management, local market and informatics to support critical engagement activities and to achieve and surpass performance targets - Continually improving quality and efficiency measures and performance - Defining and implementing enhanced operational, systems, and reporting requirements - Managing all contractual requirements This position will also engage the Provider Collaboration groups with the Local Aetna Network teams in an effort to renegotiate complex collaboration and shared risk agreements to achieve desired engagement, quality, and financial outcomes.

Background Experience:
7+ years’ experience with several of the following methodologies: network management and provider contracting, value based care and population health contracts and management, analytics and project management. Experience with enterprise-wide and/or cross-functional large scale initiatives with high degree of complexity. Demonstrated experience successfully implementing change in complex organizations. Demonstrated superior business process, project management and organizational redesign experience. Demonstrated leadership with relevant initiatives. Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously.

Additional Job Information:
Ability to communicate effectively with management.

Required Skills:
Leadership - Driving Change, Sales - Negotiating Collaboratively, Service - Creating a Differentiated Service Experience

Desired Skills:
Finance - Creating Profitable Partnerships, General Business - Ensuring Project Discipline, Leadership - Engaging and Developing People

Functional Skills:
Finance - Financial analysis, Network Management - Contract negotiation, Project Management - Cross-functional project management

Technology Experience:
Aetna Application - Enterprise Provider Database System, Aetna Application - Strategic Contracts Manager

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 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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