Corporate position working with local markets to assist in training and supporting local Network and Engagement Managers with Value Based contracts.Overall accountability for the success of assigned value based provider relationships (VBC), including strategic alignment, reference ability, deliverables, and financial and operational success, as measured by both the VBC and by Aetna. Influences and/or manages internal cross-functional groups such as implementation, support, reporting, and enablement, as well as the external client relationships to ensure optimal implementation and performance. Responsible for working with all value-based performance aspects of the engagement/VBC relationship with a team of highly matrixed cross-functional resources. Works with the VBCs executive leadership to ensure financial, technology, clinical, and operational goals are achieved. Responsible for coordinating the development and execution of an annual strategic business plan with Aetna Network Management and each VBC to exceed financial and other appropriate targets.
Develops a mutually beneficial working relationship with various VBCs by consulting on the opportunities, operational design, and implementation of the business strategy while promoting the objectives of improving health care outcomes and increasing patient quality and value. Executes the strategic vision and tone for the VBC relationship and carries out the operational plan to execute that strategy. Seeks to optimize VBC interaction, anticipating VBC needs and acting as the voice of the VBC internally, providing recommendations based on VBC needs. Defines, organizes, influences, and/or leads a team of various internal, and external resources to implement newly negotiated arrangements; ensuring a smooth transition into the intricacies and requirements of the new relationship. Collaborates cross-functionally to monitor and optimize VBC performance including clinical, quality, capabilities, and growth as well as financial goals. Looks for ways to enhance the solution within the assigned VBCs to include identifying new functionality, programs, products, services and technology to ensure better outcomes and achievement of program objectives.
Strong communication, critical thinking, problem resolution and interpersonal skills. 7+ years related experience and expert level negotiation skills with successful track record negotiating contracts with large or complex provider systems. Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/contracting arrangements and regulatory requirements. Previous project management experience in a health plan, health system, or provider organization. Proven ability to interact with, influence, and collaborate with clients at all levels. Master's preferred.
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Will consider other Aetna office locations.
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 to review the benefits associated with this position.