Network Account Manager

Aetna Inc.

(Richmond, Virginia)
Full Time
Job Posting Details
About Aetna Inc.
Aetna Insurance Company organized an annuity fund to sell life insurance in 1850. In 1853, the Annuity department separates from Aetna Insurance and is incorporated as Aetna Life Insurance Company.
Summary
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. Design, develop, contract, maintain and enhance relationships with facilities, physicians and ancillary providers which serve as contractual networks of care for members; foster growth of managed care products; and enhance profitability of Aetna
Responsibilities
* Responsible for developing and maintaining relationships with physician and business leadership of key physician groups, ancillary providers, and delivery systems. Interacts with large, high profile physician groups, IPAs, PHOs and hospital systems to facilitate solutions that are mutually beneficial for both providers and the organization. Collaborates cross-functionally on more complex issues to ensure provider needs are met and outstanding issues are resolved. i.e. provider service efficiencies, provider service improvement initiatives, identifies opportunities for process improvement. Collaborates with internal team members on the implementation of large, high profile physician groups, IPAs, PHOs and hospital systems to ensure a positive business relationship Communicates with external constituents to effectively engage the provider community and demonstrate the Aetna value proposition Manages medical cost drivers and executes specific medical cost initiatives to support financial and medical cost objectives
Ideal Candidate
**BACKGROUND/EXPERIENCE desired:** * operations. Strong analytical and written/oral communication skills. 2-5 years industry experience. Managed Care Industry Analytical/data driven decision-making skills. Proven ability to synthesize and translate competitive intelligence into decision-making process. * 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/Provider relations/4-6 Years * Functional - Network Management/Physician recruiting - medical/1-3 Years * TECHNOLOGY EXPERIENCES** * Technical - Desktop Tools/Microsoft Outlook/4-6 Years/End User * Technical - Network/Network management/1-3 Years/End User * Technical - Desktop Tools/Microsoft Word/4-6 Years/End User **REQUIRED SKILLS** * Benefits Management/Interacting with Medical Professionals/ADVANCED * Leadership/Collaborating for Results/FOUNDATION * Service/Providing Solutions to Constituent Needs/ADVANCED **DESIRED SKILLS** * General Business/Demonstrating Business and Industry Acumen/FOUNDATION * Leadership/Developing and Executing Strategy/FOUNDATION

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