Lead Director, Network Relations Management
Job Description:
• Develop strategic partnerships to ensure Aetna has market leading discount and cost positions
• Design conceptual models, initiative planning, and negotiating high value contracts
• Oversee teams responsible for building and managing relationships with existing and new providers
• Manage Provider Education, Communication & Engagement
• Ensure resolution of escalated issues related to claims payment, contract interpretation, and accuracy of provider contract or demographic information.
Requirements:
• A minimum of 10 years of progressively responsible experience in provider relations, contracting, or healthcare operations
• A minimum of 3 years of people management experience
• Demonstrated knowledge of value-based contracting structures
• Experience with Medicare, Commercial contracting and various reimbursement methodologies
• Demonstrated ability to build, manage, and grow strategic relationships
• Experience presenting complex information to groups.
Benefits:
• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
• Confidential counseling and financial coaching
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
Apply tot his job
Apply To this Job
• Develop strategic partnerships to ensure Aetna has market leading discount and cost positions
• Design conceptual models, initiative planning, and negotiating high value contracts
• Oversee teams responsible for building and managing relationships with existing and new providers
• Manage Provider Education, Communication & Engagement
• Ensure resolution of escalated issues related to claims payment, contract interpretation, and accuracy of provider contract or demographic information.
Requirements:
• A minimum of 10 years of progressively responsible experience in provider relations, contracting, or healthcare operations
• A minimum of 3 years of people management experience
• Demonstrated knowledge of value-based contracting structures
• Experience with Medicare, Commercial contracting and various reimbursement methodologies
• Demonstrated ability to build, manage, and grow strategic relationships
• Experience presenting complex information to groups.
Benefits:
• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
• Confidential counseling and financial coaching
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
Apply tot his job
Apply To this Job