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Network Manager
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Aetna .
Network Manager
Posted: August 16, 2008
Job Title: Network Manager Job Group: Health Care Requisition #: 25244 Location: Fairfield, NJ Secondary Location: Cranbury, NJ Great River, NY Hartford, CT Middletown, CT New York, NY Travel: 10 - 25% Potential Telework Opportunity: Yes FLSA Status: Exempt Full/Part Time: Full Time Supervisory: Yes Compensation Pay Opportunity: $74,430.00 - $93,200.00 Bonus Potential: 20%
Requirements ABOUT OUR COMPANY 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. JOB MISSION SUMMARY The dedication of talented and caring health care professionals drives the delivery of high quality, cost effective products and services. They make it possible for members to get the right health care treatment for their needs and for Aetna to keep its competitive edge. RESPONSIBILITIES/REQUIRED SKILLS/EXPERIENCE
- Negotiates, competitive and complex contractual relationships with providers according to pre-determined internal guidelines and financial standards. Works cross-functionally to execute network strategies. Maintains accountability for specific medical cost initiatives. - Effectively negotiates complex, competitive contractual relationships with providers according to prescribed guidelines in support of national and regional network strategies - Manages provider compensation/reimbursement and pricing development activities - Responsible for understanding and managing medical cost issues and initiating appropriate action - Provides sales and marketing support, community relations and guidance with comprehension of applicable federal and state regulations - Assist and facilitate business intent reviews (BIR) - Initiate legal reviews as needed; ensure all required reviews completed by appropriate functional areas - Regional owner of Strategic Contact Manager (SCM) and rate wizard - Must possess a successful track record negotiating large hospital system contracts.
Education and Experience: BS required, Masters degree preferred. 5+ years experience in a Health care setting. Previous experience in Health Care Administration, Managed Care contracting or Health Care finance a plus. ***Work at home opportunity possible for the right candidate who is located within the tri-state area *** Additional Information:
We value leadership, creativity and initiative. If you share those values and a commitment to excellence and innovation, consider a career with our company. Please note that benefit eligibility may vary by position. Clickhereto review the benefits associated with this position.
Please refer to job code aetna-25244 when responding to this ad.
Category: Other Jobs .
Location: Fairfield, NJ .
Pay Rate: Open .
Job Terms: full time .
Company: Aetna .
Phone: email only please .
Fax: email only please .
Applicant Category: Professional
Requisition Code: Work at home
Two Initials of Recruiter: bw
System Date: 09/09/2008
System Time: 13:30:42
Document Name(40): Network Manager
Source: JobCircle.com - USA
SearchTerms: "work at home" "work from home"
URL(80): http://jobcircle.com/classifieds/1564039.html?source=jc_csearch
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