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For your reference, we have included the original job posting below.
Network Account Manager
Job Number:
39666269
Company Name:
Aetna
Job Location:
Tampa, FL US
Job Category:
Accounting & Finance
Network Account Manager
Network Account Manager Job Group Health Care Auto req ID 5215BR Locations FL-Tampa Percent of Travel Required 10 - 25% Potential Telework Position No Full or Part Time Full Time Supervisory No Pay Opportunity Min $44,730 Pay Opportunity Max $56,000 Bonus Potential 10% Job Description
RESPONSIBILITIES: - 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 , health care systems, and ancillary providers which serve as contractual networks of care for members; foster growth of managed care products; and enhance profitability of Aetna. - Communicates with external constituents to effectively engage the provider community and demonstrate the Aetna value proposition. - Proactively identifies new trends and products within Aetna and the industry and works to raise awareness throughout the organization in order to gain consensus on a course of action and ultimately drive to implementation. - Collaborates cross-functionally on more complex issues to ensure provider needs are met and outstanding issues are resolved.
EDUCATION: - Bachelor's degree or equivalent experience.
REQUIRED SKILLS: - Previous physician network experience within managed care/healthcare is desired. - Successfully organize, manage and track operational issues impacting relationship between Aetna and Provider. - Analyze medical cost drivers. - Develop and maintain relationships with physician and business leadership of key physician groups, hospitals and integrated delivery systems. - Identify customer requirements and critical customer touchpoints within business process. - Demonstrating Business and Industry Acumen. - Analyze and refine provider networks to assure appropriate network composition. - Work on operational issues with the Providers; there will be some contract negotiation. - Act as a point of escalation for customers, team members and management and ensure optimum service quality through ongoing management and continuous improvement initiatives. - Educate providers on contract requirements. - Introduce Aetna products and services to providers and their staff. - Leadership: Driving a Culture of Compliance and Collaborating for Results - Finance: Servicing Customers Profitably and Providing Solutions to Constituent Needs - General Business: Turning Data into Information - Benefits Management: Interacting with Medical Professionals
FUNCTIONAL EXPERIENCES: - Network Management/Contract Negotiation - Network Management/Provider Relations - Customer Service/Customer Service - Provider - HMO - 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.
