Senior Engagement Manager (WAH/Telecommute from WA, OR or ID)Primary Location: Seattle, Washington
Additional Locations: ID-Boise, OR-Portland, WA-Seattle Apply
Join a winning team focusing on transforming health care delivery and financing for a large national company committed to changing the health care landscape. The position is located in the Pacific Northwest and will be responsible for both commercial and Medicare Advantage Value Based provider engagements.
Position is focusing on value based contracting and post-contract engagement designed to optimize performance for both provider organizations and Aetna. Major responsibilities include but not limited to:
- facilitating strategic discussions with leadership of key provider organizations focusing on vision and strategy for care delivery and financing,
- assessing provider capabilities in population health and clinical integration and aligning Aetna payment models,
- negotiating or supporting negotiations of value based agreements,
- uses clinical and claims data to find insight into performance improvements in cost and quality domains,
- leads joint operating committee and clinical meetings designed to optimize performance under contract,
- engages in internal and external discussions focusing on innovation in care delivery and payment reform,
- serves as a subject matter expert on industry and regulatory changes on care delivery and payment reform.
7+ years experience in provider or payer role focusing on population health, clinical integration, payment reform, value based contracting and improvement, quality improvement, and contract negotiations.
Experience with enterprise-wide and/or cross-functional large scale initiatives with high degree of complexity.
Demonstrated experience successfully implementing change in complex organizations.
Experience negotiating provider agreements strongly encouraged.
Ability to communicate at all levels of an organization including executives and clinicians.
Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously.
Ability to lead innovation and best practices both internally and externally.
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Functional - Network Management/Contract negotiation/4-6 Years
Functional - Medical Management/Medical Management - Network Management/4-6 Years
Full-Time Telework (WAH)
Part-Time Telework (ex: 2 days office-based, 3 days telework)
ADDITIONAL JOB INFORMATION
Aetna, a CVS Health company is on the leading edge of changing health care. This is an opportunity to join a winning team of professionals that are committed to making Aetna successful in the NW.
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.
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