Senior Manager, Network Manager (Texas)(Healthcare-remote)
Company: Aetna
Location: Austin
Posted on: March 18, 2023
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Job Description:
Job DescriptionRemote position.The senior manager negotiates,
executes, conducts high level review and analysis, dispute
resolution and/or settlement negotiations of contracts. Works with
larger and more complex, market/regional/national based
groups/systems in accordance with company standards in order to
maintain and enhance provider networks while meeting and exceeding
accessibility, quality and financial goals and cost
initiatives.Recruits providers as needed to ensure attainment of
network expansion and adequacy targets. Accountable for cost
arrangements within defined groups. Collaborates cross-functionally
to manage provider compensation and pricing development activities,
submission of contractual information, and the review and analysis
of reports as part of negotiation and reimbursement modeling
activities.Pay RangeThe typical pay range for this role is:Minimum:
75,400Maximum: 162,700Please keep in mind that this range
represents the pay range for all positions in the job grade within
which this position falls. The actual salary offer will take into
account a wide range of factors, including location.Required
QualificationsExperience in Commercial managed care (i.e.
contracting, clinical, recruitment or experience working with plan
sponsors). Proven working knowledge of provider financial issues
and competitor strategies, large/complex contracting options,
financial/contracting arrangements and regulatory requirements. 5-7
years related experience and comprehensive level of negotiating
with individual or complex provider systems or groups. Strong
communication, critical thinking, problem solving and interpersonal
skills. Advanced Excel skills Microsoft Office knowledgePreferred
QualificationsPreferred locations: Austin, Houston or San
Antonio.EducationBachelor's Degree or equivalent combination of
education and experience.Business OverviewBring your heart to CVS
Health Every one of us at CVS Health shares a single, clear
purpose: Bringing our heart to every moment of your health. This
purpose guides our commitment to deliver enhanced human-centric
health care for a rapidly changing world. Anchored in our brand -
with heart at its center - our purpose sends a personal message
that how we deliver our services is just as important as what we
deliver. Our Heart At Work Behaviors support this purpose. We want
everyone who works at CVS Health to feel empowered by the role they
play in transforming our culture and accelerating our ability to
innovate and deliver solutions to make health care more personal,
convenient and affordable. We strive to promote and sustain a
culture of diversity, inclusion and belonging every day. CVS Health
is an affirmative action employer, and is an equal opportunity
employer, as are the physician-owned businesses for which CVS
Health provides management services. We do not discriminate in
recruiting, hiring, promotion, or any other personnel action based
on race, ethnicity, color, national origin, sex/gender, sexual
orientation, gender identity or expression, religion, age,
disability, protected veteran status, or any other characteristic
protected by applicable federal, state, or local law. We proudly
support and encourage people with military experience (active,
veterans, reservists and National Guard) as well as military
spouses to apply for CVS Health job opportunities.
Keywords: Aetna, Austin , Senior Manager, Network Manager (Texas)(Healthcare-remote), Executive , Austin, Texas
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