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Aetna is recruiting for a Lead Director, Business Development who will partner with business development leaders to build innovative and strategic provider relationships as part of the National Value Base Care (VBC) Business Development team. You will work collaboratively across the Network organization to ensure speed to market and to support segment leaders with growing our specialty and innovative VBC portfolio.
Responsibilities
Leading the process for identifying, evaluating, and completing contracting with specialty and innovative provider partners.
Owning relationships with leaders of specialty or early stage provider organizations to design to execute on strategies for growth.
Develop and educate leaders on specialty landscapes and what financial models are being used across the industry.
Partnering with finance on the development of financial models and VBC contracts to support portfolio growth.
Partnering with Network and Segment teams to ensure deployment of VBC strategies are executed timely.
Perform market competitive analysis, engage contracting and clinical teams to create innovative value based payment concepts.
Will work with cross functional teams to create and initiate model solution development, pilot models, and ensure initial ROI for enterprise scaling.
Serve as a liaison among internal customers, operations, actuary, product, and analytic teams to ensure reimbursement initiatives meet the needs of internal and external customers.
Requirements
10+ years of experience in Payer and Provider Value based care.
5+ years of contract negotiations, ideally with a focus on Value Based care.
Experience in Value Based Care financial models.
Experience in Risk-based arrangements and Value Based care in government services.
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) if reside near an Aetna Hub or continue existing WAH arrangement.
Ability to work in the Eastern/Central time zone core business hours.
Benefits
Full range of medical, dental, and vision benefits.
