Job added in hotlist
Applied job
Contract job
90-day-old-job
part-time-job
Recruiter job
Employer job
Expanded search
Apply online not available
View more jobs in Windsor, CT
View more jobs in Connecticut

Job Details

Director Network Management - 52457BR

Location
Windsor, CT

Apply for this job






Profile

in
Windsor
Connecticut
Req ID: 52457BR
POSITION SUMMARY
This is a work at home position and the individual can be based in Connecticut or Rhode Island with travel in assigned territory.
(This is not an IT role).
Develops strong relationships with network providers and internal business partners leading to the achievement of provider satisfaction, medical cost targets, network growth and/or efficiency targets. Service, maintain, manage, and enhance relationships with facilities, physicians and ancillary providers. Foster growth of managed care products and create value for our constituents. Negotiates competitive and complex contractual relationships with providers according to pre-determined internal guidelines and financial standards. Works cross-functionally to execute network strategies. Manages local network management team.
Fundamental Components:
Manages provider compensation/reimbursement and pricing development activities. Responsible for understanding and managing medical cost issues and initiating appropriate action. Provides sales and marketing support, community relations and guidance with comprehension of applicable federal and state regulations. Initiate legal reviews as needed, ensure all required reviews completed by appropriate functional areas. Supervise day-to-day operations of network management team. Assist with the design, development, management, and/or implementation of strategic network configurations. Manages local Provider Relationship Management, Organization Orientation, and Provider Advocacy.
BACKGROUND/EXPERIENCE desired:
Must possess a successful track record negotiating large hospital system contracts. Maintains strong working relationships with internal constituents within the following areas: Medical Economics Unit, Contracts Coordination Unit, Provider Data Services, Sales, Patient Management, Legal and other areas within Aetna that are key to successful execution.
EDUCATION
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
FUNCTIONAL EXPERIENCES
Functional - Network Management/Contract negotiation/7-10 Years
Functional - Medical Management/Medical Management - Medical Economics/4-6 Years
Functional - Network Management/Provider relations/7-10 Years
Functional - Network Management/Physician recruiting - medical/7-10 Years
Functional - Project Management/Project Manager/4-6 Years
TECHNOLOGY EXPERIENCES
Technical - Desktop Tools/Microsoft Outlook/7-10 Years/End User
Technical - Desktop Tools/Microsoft PowerPoint/7-10 Years/End User
Technical - Desktop Tools/Microsoft SharePoint/4-6 Years/End User
REQUIRED SKILLS
General Business/Demonstrating Business and Industry Acumen/ADVANCED
Leadership/Creating Accountability/ADVANCED
Leadership/Developing and Executing Strategy/ADVANCED
DESIRED SKILLS
Leadership/Engaging and Developing People/ADVANCED
ADDITIONAL JOB INFORMATION
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.
#LI-JF1
Job Function: Health Care

Company info

Sign Up Now - WorkAtHomeCrossing.com

Similar Jobs:
\u003Cp\u003EDrive with Uber and earn money anytime it works for you. Driving is an easy way to earn extra, and it\u2019s totally flexible around your schedule. You decide when and how much you drive.\u003C/p\u003E\u003Cp\u003E\u0...
\u003Cp\u003EDrive with Uber and earn money anytime it works for you. Driving is an easy way to earn extra, and it\u2019s totally flexible around your schedule. You decide when and how much you drive.\u003C/p\u003E\u003Cp\u003E\u0...
CLIENT SUPPORT ANALYST
Location : Hartford, CT
CLIENT SUPPORT ANALYST CTG • Hartford CT Job #714776653 Title: CLIENT SUPPORT ANALYST Location: United States Job Number: 18208527 CTG is seeking to hire a Client Support Analyst for our client in Bay Area, CA for 7 months. About ...
EmploymentCrossing is great because it brings all of the jobs to one site. You don't have to go all over the place to find jobs.
Kim Bennett - Iowa,
  • All we do is research jobs.
  • Our team of researchers, programmers, and analysts find you jobs from over 1,000 career pages and other sources
  • Our members get more interviews and jobs than people who use "public job boards"
Shoot for the moon. Even if you miss it, you will land among the stars.
WorkAtHomeCrossing - #1 Job Aggregation and Private Job-Opening Research Service — The Most Quality Jobs Anywhere
WorkAtHomeCrossing is the first job consolidation service in the employment industry to seek to include every job that exists in the world.
Copyright © 2018 WorkAtHomeCrossing - All rights reserved. 21