Aetna

Lead Director, Network Management (California)

Aetna

California, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Are you a dynamic and driven leader with a passion for network management? Do you thrive in a fast-paced and innovative environment? Aetna, a leading healthcare company, is seeking a talented individual to join our team as the Lead Director of Network Management in California. In this role, you will have the opportunity to shape and drive the strategic direction of our network operations, ensuring the delivery of high-quality, cost-effective healthcare services to our members. We are looking for someone with a strong background in network management, exceptional leadership skills, and a deep understanding of the California healthcare market. If you are ready to take your career to the next level and make a positive impact on the healthcare industry, we want to hear from you!

  1. Develop and implement strategic plans for network management in California, ensuring alignment with overall company goals and objectives.
  2. Oversee the day-to-day operations of the network management team, including contract negotiations, provider relations, and network expansion.
  3. Monitor and analyze market trends and competitor activities to identify opportunities for network growth and improvement.
  4. Collaborate with cross-functional teams, including finance, sales, and marketing, to develop and implement innovative network strategies.
  5. Manage and maintain relationships with key stakeholders, including providers, hospitals, and government agencies.
  6. Ensure compliance with state and federal regulations related to network management and healthcare delivery.
  7. Develop and manage budget for network management operations, ensuring cost-effective and efficient use of resources.
  8. Lead and mentor a team of network management professionals, providing guidance, support, and development opportunities.
  9. Participate in industry conferences and events to stay current on industry trends and best practices.
  10. Communicate regularly with executive leadership on network performance, challenges, and opportunities for improvement.
  11. Develop and maintain strong relationships with Aetna leadership and other internal stakeholders to drive collaboration and alignment across the organization.
  12. Stay informed on changes and developments in the California healthcare market and make recommendations for adjustments to network strategies as needed.
  13. Serve as a subject matter expert on network management and provide guidance and support to other departments within the organization.
  14. Proactively identify and address potential issues or challenges related to network management, and develop solutions to mitigate risks.
  15. Foster a culture of continuous improvement and innovation within the network management team to drive efficiency and effectiveness.
Where is this job?
This job is located at California, USA
Job Qualifications
  • Bachelor's Degree In Business Administration, Healthcare Management, Or A Related Field.

  • Minimum Of 10 Years Of Experience In Network Management And/Or Healthcare Operations.

  • Extensive Knowledge Of California Healthcare Market And Regulatory Environment.

  • Proven Leadership Skills, Including Experience Managing A Team And Driving Results.

  • Strong Communication And Negotiation Skills, With The Ability To Build And Maintain Relationships With Providers And Stakeholders.

Required Skills
  • Financial Analysis

  • Strategic Planning

  • Project Management

  • Data Analysis

  • Contract Negotiation

  • Relationship Management

  • Team Leadership

  • Performance monitoring

  • Network optimization

  • Problem-Solving

  • Vendor

  • Stakeholder Communication

Soft Skills
  • Communication

  • Conflict Resolution

  • Leadership

  • Time management

  • Interpersonal Skills

  • Critical thinking

  • Attention to detail

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Lead Director, Network Management (California) in California, USA is $200,000 - $300,000 per year. This may vary depending on the specific company, location within California, and the individual's experience and qualifications.

Additional Information
Aetna is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedMarch 13th, 2025
Apply BeforeJune 21st, 2025
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About Aetna

Aetna Inc. is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare. Since November 28, 2018, the company has been a subsidiary of CVS Health.

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