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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.

• 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.

• A minimum of 5 years of experience in Payer and Provider Value based care.
• Experience in Value Based Care financial models and value-based care contracting/negotiations.
• 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.

• Experience in Medicaid Risk-based arrangements and Value-Based care
• Proven negotiation skills including extensive experience leading Medicaid value-based care deals.

• Bachelor's degree or equivalent professional work experience.