VBC Network Management LeadPrimary Location: Phoenix, AZ
Additional Locations: AZ-Mesa, AZ-Phoenix, AZ-Scottsdale, AZ-Tempe, AZ-Tucson, MN-Minneapolis, MN-Plymouth, MN-Saint Louis Park Apply
67071Fundamental Components: Ability to engage leadership at Key Provider Organizations assess current status and propose and implement the right VBC arrangement. Manages a cross-functional team of various Aetna, client and external resources to implement and maintain ongoing account services in VBC arrangements with combinations of financial, product, technology, clinical, and operational elements, ranging from infrastructure / network installation for provider solutions, ongoing maintenance of provider solutions (e.g., tech / population health services), payments / appeals processes, report generation, and compliance Establishes and maintains relationships across ACS and Aetna organizations to use as support for these provider servicing activities Manages servicing operations on a routine basis, including setting cadence for regular task activities, as well as responding to live direction requests from Engagement Managers Regularly interfaces with provider to facilitate implementation / maintenance of provider servicing activities and to respond to provider requests / concerns Ensures adherence to compliance policies and procedures throughout provider account operations, proactively identifying risks and escalating to leadership as appropriate Responsible for ensuring that provider account services contribute to ACS objective of improving quality of care while reducing costs
#LI-HH1 Background Experience: Proven ability to interact with, influence and collaborate with key providers and internal leadership at all levels. 5+ years in a role partnering with Providers in various Value Based arrangements. role 8+ years of client management 8+ years of hospital system and/or health insurance industry experience, ACO / managed-care experience preferredExperience managing matrixed staff with ability to leverage non-directs to complete tasks.Proven track record managing complex projects and or programs that resulted in cost savings.Good interpersonal and communication skills and ability to form strong client relationships.Knowledge of healthcare and insurance industry. Bachelor's Degree Required Potential Telework Position: Yes Percent of Travel Required: 25 - 50% EEO Statement: Aetna is an Equal Opportunity, Affirmative Action Employer Benefit Eligibility: Benefit eligibility may vary by 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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