Network Development and Contracting, Medicaid

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Position Summary

Aetna is recruiting for a Senior Manager, National Value Based Care (VBC) Development who will support innovative and strategic provider Medicaid relationships as part of the National VBC Business Development team.

You will work collaboratively across the Network and Medicaid organization to ensure speed to market and to support segment leaders with growing our value based care portfolio.

You will make an impact by :

Support efforts focused on growing and maintaining strategic relationships with national Medicaid provider partners with a focus on executing enterprise wide initiatives.

Support contracting efforts including negotiating contract deal terms and support the development and implementation of value-based contract relationships, serving as SME in support of business strategies across the Medicaid segment

Develops relationships with providers and executes on go-to-market strategies and tactics around VBC risk deals to ensure attainment of network expansion and adequacy targets.

Collaborates cross-functionally with various stakeholders internally and / or externally to scope / define projects, documentation of contractual information, and review / analysis of reports as part of VBC risk arrangement activities.

Partners with cross functional teams, business areas, business segments to ensure all workflow processes and interdependences are identified and addressed.

Provides network development / expansion, provider relationships, and refinement activities in support of cross-market network management.

Support design, development, management, and / or implementation of strategic network configurations and integration activities as related to value based care risk deals.

Develop thought leadership on potential incentive / model strategies to advance primary care models, virtual care support, and care delivery integration models.

Required Qualifications

8-10 years of experience in Payer and Provider Value based care.

Experience in Value Based Care financial models and value based care contracting / negotiations.

Experience in Medicaid Risk-based arrangements and Value-Based care

Proven negotiation skills including extensive experience leading Medicaid value based care deals

Ability to manage multiple priorities, and leading multiple complex negotiations at a time

Adept at execution and delivery (planning, delivering, and supporting) skills

Experience working in a highly matrixed environment.

Ability to work Hybrid Model (in office Tuesday / Wednesday / Thursday) near an Aetna Hub

Education

Bachelor's degree or equivalent professional work experience.

Pay Range

The typical pay range for this role is :

$67,900.00 - $190,700.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.

The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

This position also includes an award target in the company’s equity award program.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.

The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.

The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits.

CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.

As for time off, Company employees enjoy Paid Time Off ( PTO ) or vacation pay, as well as paid holidays throughout the calendar year.

Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.