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Network Consultant (Arabic Speaker) - 47779BR

Aetna

3 - 5 years United Arab Emirates - United Arab Emirates

Any Nationality


, Posted on May 9, 2018 1 Opening

Job Description

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Position Summary
Design, develop, contract, maintain and enhance relationships with medical facilities and vendors in the Middle East which serve as contractual networks of care for members; and enhance profitability of Aetna Global Benefits.
Fundamental Components
Contracting with new medical providers in the MEA region ,negotiates new service codes as well as the renewal of contracts in accordance with applicable Aetna guidelines and instructionsNegotiates volume rebates, upfront / early payment discount, with medical providers. Supports global network initiatives Turns data into information through ROW network analysis Educates providers and Aetna staff, including:assessing needs, designing and developing training and educational materialsCoordinates distribution of product/educational materialsImplements network development and refinement strategiesConducts and manages continuous review of provider networks to assure appropriate network compositionMonitors multi-year contract rate changes, and consult with colleagues to ensure new rates are loaded appropriatelyIdentifies areas of improvement, makes recommendations, designs processes, implements and follow up until completion.Background/Experience Desired
3-5 years of relevant experience in medical network management with Providers in the GCCExperience managing vendors/Third Party Administrators is desirableFamiliarity with contract language a plusDemonstrated organizational and communication skills required
Education and Certification Requirements
Bachelor s degree or equivalent work experience.
Additional Information
Strong analytical skills (Excel Skills a must) Sound knowledge of the GCC healthcare and insurance market, legislation and regulations. Ability to anticipate customer needs and requirements, as well as to facilitate and negotiate using tact and diplomacy. Ability to communicate effectively with Providers, Members, and Staff & Upper Management in both an oral and written format. #LI-BR1
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Industry Type : Insurance
Functional Area : IT Software

Keywords

Service Healthcare Network analysis Strong analytical skills Network development Network management Vendor management middle east Distribution Contracting

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Aetna

Aetna is a US based healthcare benefits company and deals in a comprehensive range of health insurance products and related services including group life, pharmaceutical, medical and disability plans. The company was founded by Eliphalet Adams Bulkeley in 1853 and has a remarkable history of success ful growth over 160 years.



It currently offers an array of benefits to thousands of people in over 100 countries. With offices across the US, Europe, India, the Gulf and South East Asia, the company enjoys international capabilities and a strong global presence. Its Dubai office serves Africa, the Middle East, Indian Sub-Continent and Indian Ocean.



The company prides itself on its team of forward thinking people who are constantly driven to innovate and has over 55,000 employees. It contributes to the growth of its people by offering rewarding career opportunities, dynamic work culture, and continuous skills enhancement and constantly drive them to provide quality health care to the masses.

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