Network Relations Manager (Oklahoma)

Are you passionate about building and maintaining strong relationships? Do you have a background in network management and a desire to make a positive impact in the healthcare industry? Aetna is seeking a driven and dedicated Network Relations Manager to join our team in Oklahoma. In this role, you will be responsible for managing and cultivating relationships with our network providers, ensuring that our members have access to high-quality, cost-effective healthcare services. The ideal candidate will have a strong understanding of network management and possess excellent communication and interpersonal skills. If you are ready to be a part of a dynamic and growing organization, we encourage you to apply for this exciting opportunity.

1. Develop and maintain strong relationships with network providers in the Oklahoma area.
2. Work closely with providers to negotiate and maintain contracts that ensure high-quality, cost-effective healthcare services for Aetna members.
3. Serve as the primary point of contact for network providers, addressing any questions or concerns they may have.
4. Utilize data and analytics to identify opportunities for network optimization and cost savings.
5. Collaborate with internal teams to ensure network adequacy and compliance with regulatory requirements.
6. Monitor and track provider performance, addressing any issues or discrepancies in a timely manner.
7. Continuously evaluate and improve network processes and procedures to enhance efficiency and effectiveness.
8. Serve as a liaison between network providers and other internal departments, such as claims and customer service.
9. Conduct regular provider meetings and trainings to ensure understanding and compliance with Aetna policies and procedures.
10. Stay up-to-date on industry trends and changes in healthcare regulations to effectively guide network management strategies.
11. Develop and maintain a thorough understanding of Aetna's products and services to effectively communicate with network providers.
12. Maintain accurate and up-to-date records of all network provider interactions and communications.
13. Proactively identify and address potential issues or conflicts with network providers.
14. Represent Aetna at industry events and conferences to build and maintain relationships with potential network providers.
15. Act as a brand ambassador for Aetna, promoting the company's values and mission to network providers and the community.

According to JobzMall, the average salary range for a Network Relations Manager (Oklahoma) in Oklahoma City, OK, USA is $76,000 - $111,000 per year. This range can vary depending on the specific company, location, and experience level of the individual. Some factors that may impact salary include the size and profitability of the company, the individual's education and certifications, and their level of experience in the field. Additionally, the demand for network relations managers in the Oklahoma City area may also affect salary range.

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.