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Network Relations Manager, Singapore - 58694BR

Primary Location: Singapore, SGP
Additional Locations: SGP-Singapore
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Description:

Job Group Summary

The dedication of talented and caring health care professionals drives the delivery of high-quality cost-effective products and services. They make it possible for members to get the right health care treatment for their needs and for Aetna to keep its competitive edge.

Family Summary / Mission

Design, develop, contract, maintain and enhance relationships with facilities, physicians and ancillary providers which serve as contractual networks of care for members; and enhance profitability of Aetna.

Position Summary/Mission

Acts as the primary resource for assigned profile of larger and more complex providers (i.e. market/ regional/national, large group or hospital systems) to establish, oversee, and maintain provider risk management and positive relationships and supports high value initiative activities.

Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. May have limited contract negotiation responsibilities for assigned providers.

Fundamental Components & Physical Requirements

·Optimizes interactions with assigned providers 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 provider systems and monitors performance based on defined KPI’s.

·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 providers periodically to ensure service levels are meeting expectations. Manages the development of agenda, validates materials, and facilitates external provider meetings.

·May collaborate cross functionally on the implementation of large provider 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.

·Responsible for provider 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 providers and partners at all levels.

·3+ years' experience in business segment specific environment servicing or managing non-standard relationships with providers with exposure to benefit plan design and/or contract interpretation.

·3-5 years' experience with business segment specific policy, benefits, plan design and language.

·Fluency in English (MUST) and any other Asian language is preferred due to territory needs

·Working knowledge of business segment specific products, and terminology.

Education and Certification

Bachelor’s Degree or equivalent combination of educationand experience.

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