Aetna Contract Negotiator (Managed Care Experience – Preferred) in Urbandale, Iowa

Req ID: 37078BR

POSITION SUMMARY

Negotiates, re-negotiates and executes physician and/or provider contracts in accordance with company standards in order to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals.

Fundamental Components:

Accountable for all aspects of physician recruitment and contracting as well as ad/hoc network contracting, as assigned (*)

Responsible for re-negotiating or negotiating solo, complex group, hospital-based and large entity physician contracts in support of network quality, availability and financial goals (*)

Participates in the strategic recruitment of physicians satisfying specific network goals and objectives (*)

Provides network development, maintenance and refinement activities and strategies in support of cross-market network management units (*)

Partners across the organization to garner support for network contracting activities to ensure all aspects of operational implementation are completed on a timely and accurate basis

May be responsible for supervising and mentoring staff

BACKGROUND/EXPERIENCE desired:

Strong written and verbal communication skills. Able to identify and capitalize on marketing opportunities to support program delivery.

Mastery of provider contracts, contracting options, PADU guidelines as well as provider configurations.

In-depth knowledge of the managed care industry and practices, as well as a strong understanding of Aetna competitor strategy

EDUCATION

The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

TECHNOLOGY EXPERIENCES

Technical - Desktop Tools/Microsoft Word/1-3 Years/End User

Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User

Technical - Desktop Tools/Microsoft SharePoint/1-3 Years/End User

REQUIRED SKILLS

Service/Demonstrating Service Discipline/ADVANCED

Sales/Managing Competitive Networks/ADVANCED

Leadership/Fostering a Global Perspective/FOUNDATION

DESIRED SKILLS

General Business/Turning Data into Information/ADVANCED

ADDITIONAL JOB INFORMATION

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Job Function: Health Care