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Aetna is now a CVS Health Company

Hospital Relations Manager

Primary Location: Princeton, NJ
Additional Locations: NJ-Princeton
Design, develop, contract, maintain and enhance relationships with hospitals which serve as contractual networks of care for members; foster growth of managed care products; and enhance profitability of Aetna. Acts as the primary resource for assigned profile of hospital systems to establish, oversee, and maintain provider risk management and positive relationships and support high value initiative activities. Drive the implementation of internal and external solutions to achieve hospital provider satisfaction, cost targets, network growth, and efficiency targets. May have limited contract negotiation responsibilities for assigned hospitals.

Fundamental Components:
Optimizes interactions with assigned hospitals and internal business partners to establish and maintain productive, professional relationships and partners on the development of business strategy and programs to support the operational plans.
Collaborates cross-functionally to ensure resolution of escalated issues or projects for assigned hospitals and monitors performance and adherence to scorecards and payout schedules based on established quality, growth and clinical measures.
Educates internal and external parties as needed to ensure compliance with contract policies and parameters, plan design, compensation process, technology, performance measurement techniques, policies, and procedures.
Meets with key hospitals periodically to ensure service levels are meeting expectations.
Manages the development of agenda, validates materials, and facilitates external hospital meetings.
May collaborate cross-functionally on the implementation of large hospital systems, to manage cost drivers, data reports and execute specific cost initiatives to support business objectives and to identify trends and enlist assistance in problem resolution.
May be responsible for hospital recruitment, contracting, or re-contracting activities, or may assist and support more complex contracting and discussions.
May provide guidance and training to less experienced team members.

Background Experience:
Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills with proven ability to influence and collaborate with hospitals and partners at all levels.
4+ years' experience in business segment specific environment servicing or managing non-standard relationships with hospitals with exposure to benefit plan design and/or contract interpretation.
3-5 years' experience with business segment specific policy, benefits, plan design and language.
Working knowledge of business segment specific codes, products, and terminology.
Bachelor’s Degree or equivalent combination of education and experience.

Potential Telework Position:

Percent of Travel Required:
50 - 75%

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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