Senior Manager, Network Manager (Texas)(Healthcare-remote)

Company: Aetna
Location: Austin
Posted on: March 18, 2023

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