Network Manager
Aetna - Washington, DC

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  • This is a Telework opportunity. The desired candidate must reside in the Washington D.C. metro area in order to attend certain customer meetings in person.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.RESPONSIBILITIES: - Negotiate complex contracts with hospitals, health systems, and large physician groups in the Baltimore/DC metro area for multiple product lines (commercial, Medicare, etc.). - Should possess knowledge of hospital payment methodologies (MS-DRGs, per diems, case rates, etc.), extensive knowledge of the market, providers, competitive landscape, hospital reimbursement methodologies, and other advanced reimbursement methodologies.EDUCATION: - Bachelor''s degree or equivalent experience.REQUIRED SKILLS: - Sales: Negotiating Collaboratively and Managing Competitive Networks- Leadership: Developing and Executing Strategy- Finance: Delivering Profit and Performance- Benefits Management: Interacting with Medical Professionals- General Business: Demonstrating Business and Industry AcumenFUNCTIONAL EXPERIENCES: - Network Management/Contract Negotiation- Network/Medical Cost Management- Network/Network Development- Network/Network Strategy- Network/Provider Relations
Please note that benefit eligibility may vary by position. Clickhereto review the benefits associated with this position.
Aetna does not permit the use of tobacco related products or drugs in the workplace.
Job Function: Health Care
Job Function: Health Care
Job Function: Health Care
Job Function: Health Care
Job Function: Health Care
Job Function: Health Care
Job Function: Health Care
Job Function: Health Care
Job Function: Health Care

Aetna - 19 months ago - save job - block
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Aetna is about more than just doing a job. This is our opportunity to re-shape health care for America and across the globe. We are...