Aetna

Network Relations Manager (California)

Aetna

California, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Welcome to Aetna, where we strive to improve the health and well-being of individuals and communities across the nation. We are currently seeking a highly motivated and dynamic individual to join our team as a Network Relations Manager in California. As a Network Relations Manager, you will play a critical role in developing and maintaining relationships with our network providers and partners. Your strong communication and negotiation skills, along with your knowledge of the healthcare industry, will be essential in ensuring our network remains strong and effective. If you are passionate about making a positive impact in the healthcare industry and have the necessary qualifications, we encourage you to apply for this exciting opportunity.

  1. Develop and maintain relationships with network providers and partners in California.
  2. Ensure the strength and effectiveness of our network by negotiating contracts and resolving any issues or disputes.
  3. Collaborate with internal teams to develop strategies for network growth and expansion.
  4. Monitor and analyze network performance data to identify areas for improvement.
  5. Communicate network updates and changes to providers and partners in a timely and effective manner.
  6. Serve as the main point of contact for network-related inquiries and concerns.
  7. Stay current with industry trends and changes in healthcare regulations to inform network strategies.
  8. Conduct regular site visits and audits to assess network providers' compliance with contractual agreements.
  9. Facilitate trainings and workshops for network providers to ensure understanding of policies and procedures.
  10. Work closely with other departments, such as claims and customer service, to resolve any network-related issues for members.
  11. Collaborate with marketing and sales teams to promote the network and attract new providers and partners.
  12. Maintain accurate and up-to-date records of network contracts, agreements, and relationships.
  13. Represent Aetna at industry events and conferences to build and strengthen relationships with network providers and partners.
  14. Serve as a brand ambassador by promoting Aetna's mission and values in all interactions with providers and partners.
  15. Continuously assess and improve network operations to ensure compliance with company standards and goals.
Where is this job?
This job is located at California, USA
Job Qualifications
  • Bachelor's Degree In Business Administration, Healthcare Administration, Or A Related Field.

  • Minimum Of 5 Years Of Experience In Healthcare Industry, Specifically In Network Development And Management.

  • In-Depth Knowledge Of California Healthcare Market And Its Regulations.

  • Excellent Communication And Interpersonal Skills To Effectively Negotiate And Maintain Relationships With Network Providers.

  • Strong Analytical And Problem-Solving Skills To Identify And Resolve Issues Related To Network Performance And Provider Contracts.

Required Skills
  • Strategic Planning

  • Communication Skills

  • Contract Management

  • Project Management

  • Data Analysis

  • Negotiation skills

  • Conflict Resolution

  • customer service

  • Relationship Management

  • Analytical Thinking

  • Problem-Solving

Soft Skills
  • Communication

  • Conflict Resolution

  • Emotional Intelligence

  • Leadership

  • Time management

  • Interpersonal Skills

  • creativity

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Network Relations Manager (California) in California, USA is $94,000-$150,000 per year. This may vary based on the specific company, experience level, and location within the state.

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 BeforeApril 11th, 2026
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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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