Aetna Contract Negotiator in Metairie, Louisiana

Req ID: 44209BR

POSITION SUMMARY

This is a contracting position that will be responsible for recruiting, contracting and servicing physician, hospital, and/or ancillary providers in Louisiana as well as any other contracting projects as assigned for commercial and Medicare growth in accordance with company standards.

Fundamental Components:

  • Primary contract resource for provider contracts.

  • Support resource for hospitals.

  • Develop and maintain positive relationships with our provider partners.

  • Educate internal and external parties, as needed to ensure compliance with contracts and policies.

  • Collaborate cross functionally to ensure resolution of escalated issues or projects.

  • Meet with key providers to ensure service levels are meeting expectations.

  • Manage contract performance in support of network quality, availability and financial goals and strategies

    BACKGROUND/EXPERIENCE desired:

  • The successful candidate must have 4-6 years of network development experience or comparable healthcare experience in contracting/negotiating.

  • Must have knowledge of various payment methodologies for healthcare.

  • Strong communication, critical thinking, problem solving and interpersonal skills.

  • Knowledge of the managed care industry and Medicare.

    EDUCATION

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

    FUNCTIONAL EXPERIENCES

    Functional - Network Management/Contract negotiation/4-6 Years

    Functional - Network Management/Provider relations/4-6 Years

    Functional - Network Management/Physician recruiting - medical/4-6 Years

    TECHNOLOGY EXPERIENCES

    Technical - Aetna Applications/Strategic Contracts Manager/1-3 Years/End User

    Technical - Aetna Applications/Enterprise Provider Database System/1-3 Years/Power User

    Technical - Desktop Tools/TE Microsoft Excel/4-6 Years/End User

    Technical - Desktop Tools/Microsoft Word/4-6 Years/End User

    REQUIRED SKILLS

    General Business/Demonstrating Business and Industry Acumen/ADVANCED

    General Business/Turning Data into Information/ADVANCED

    Sales/Negotiating collaboratively/ADVANCED

    DESIRED SKILLS

    Finance/Servicing Customers Profitably/ADVANCED

    Sales/Managing Competitive Networks/ADVANCED

    Service/Demonstrating Service Discipline/ADVANCED

    Telework Specifications:

    This position will be based in the Metairie, LA office.

    ADDITIONAL JOB INFORMATION

  • This is a fast paced dynamic role covering Louisiana for Medicare and commercial growth.

    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.

    Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Job Function: Health Care