Sr. Engagement ManagerPrimary Location: Hartford, Connecticut
Additional Locations: CT-Hartford Apply
|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.
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