Director, Ne2rk Management New Orleans

Please note candidates must live in a commutable distance to Metairie, LA.
Aetna has an exciting opening in New Orleans as a Director of Network Management. Qualified incumbents will have large scale contracting experience (end-to-end) so must be fluent in hospital/provider negotiations. Responsibilities include managing complex contractual relationships in the market and building network relationships while managing the network staff. This position will assist in the design, development, management and/or implementation of strategic network configurations and act as a liaison with senior management. Please note candidates must live in a commutable distance to Metairie, LA.
Fundamental Components:
Effectively negotiates complex, competitive contractual relationships with providers according to 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.
Will supervise day to day operations of network management team.
Works cross functionally to execute network strategies.
Foster growth of our managed care portfolio.
Must possess a successful track record negotiating large hospital system contracts.
Must have managed care experience.
Must have management and leadership experience.
Must have negotiated all types of provider, ancillary and hospital contracts.
Knowledge of the Louisiana market and key players highly desired.
Bachelor's degree or equivalent experience.
Functional - Network Management/Contract negotiation/7-10 Years
Functional - Management/Management - Health Care Delivery/4-6 Years
Functional - Leadership/Act as company spokesperson to external constituents/4-6 Years
Functional - Project Management/Cross-functional project management/4-6 Years
Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User
General Business/Demonstrating Business and Industry Acumen/ADVANCED
Leadership/Developing and Executing Strategy/ADVANCED
Sales/Managing Competitive Networks/MASTERY
Leadership/Creating a World Class Workforce/ADVANCED
Service/Demonstrating Service Discipline/ADVANCED
This is a management position of a seasoned network staff that will assist them in negotiations and provided guidance on key contract negotiations and be responsible for the key complex negotiations.
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.
We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.
Together we will empower people to live healthier lives.
Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.
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.
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Employment Type Regular Career Band Description Management

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