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A new day in healthcare. Together, CVS Health and Aetna help people on their path to better health.

Network Manager

Primary Location: New Albany, Ohio
Additional Locations: OH-New Albany
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POSITION SUMMARY
Negotiates competitive and complex contractual relationships with providers according to pre-determined internal guidelines and financial standards. Works cross-functionally to execute network strategies. Maintains accountability for specific medical cost initiatives.

Fundamental Components:
Effectively negotiates complex, competitive contractual relationships with providers according to prescribed guidelines in support of national and local network strategies. Manages provider compensation/reimbursement and pricing development activities. Responsible for understanding and managing medical cost issues and initiating appropriate action. Provides sales and marketing support, community relations and guidance with comprehension of applicable federal and state regulations. Assists and facilitates business intent review, initiates legal reviews as need and ensures all required reviews are completed by appropriate functional areas. Owner of Strategic Contract Manager and rate wizard.

BACKGROUND/EXPERIENCE desired:
Strong communication, critical thinking, problem resolution and interpersonal skills.
Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/contracting arrangements and regulatory requirements.
Must possess a successful track record negotiating large hospital system contracts. Bachelor's degree required with MBA/Masters preferred.

EDUCATION
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

FUNCTIONAL EXPERIENCES
Functional - Network Management/Contract negotiation/1-3 Years
Functional - Network Management/Network market leadership/1-3 Years


TECHNOLOGY EXPERIENCES
Technical - Aetna Applications/Strategic Contracts Manager/1-3 Years/End User
Technical - Aetna Applications/Enterprise Provider Credentialing/1-3 Years/End User


REQUIRED SKILLS
Benefits Management/Interacting with Medical Professionals/MASTERY
Sales/Managing Competitive Networks/MASTERY
Sales/Negotiating collaboratively/MASTERY


DESIRED SKILLS
Finance/Delivering Profit and Performance/FOUNDATION
Finance/Servicing Customers Profitably/MASTERY
Leadership/Developing and Executing Strategy/ADVANCED


ADDITIONAL JOB INFORMATION
This is a rewarding fast paced role in a dynamic organization.

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.





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



Aetna takes our candidates'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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