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We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Job Responsibility:
Accountable for developing strategic partnerships to ensure Aetna has market leading discount and cost positions and high value, competitive networks
Manages Provider Education, Communication & Engagement
Key focus on building strong relationships with providers as well as developing and executing contract strategies
Responsible for identifying and managing cost issues and collaborating cross functionally to execute significant cost saving initiatives
Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information
Guides management for individual performance evaluations aimed to provide critical feedback for skills development and depth of work area experience
Requirements:
A minimum of 10 years of progressively responsible experience in provider relations, contracting, or healthcare operations
A minimum of 3 years of people management experience
Demonstrated knowledge of value-based contracting structures
Experience with Medicare, Commercial contracting and various reimbursement methodologies
Demonstrated ability to build, manage, and grow strategic relationships
Experience presenting complex information to groups in a clear, concise, and persuasive manner
Nice to have:
Proven working knowledge of provider financial issues and competitor strategies
What we offer:
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching