Aetna Contract Negotiator (Hospital & Ancillary Contracting) 43337BR in Overland Park, Kansas

Req ID: 43337BR

This position will sit in the Overland Park, KS office location.

POSITION SUMMARY

Negotiates, re-negotiates and executes physician and other 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

BACKGROUND/EXPERIENCE desired:

  • Bachelor's Degree or equivalent work experience

  • communication skills -Strong written and verbal communication skills

  • Knowledge and understanding of Provider Contracts, contracting options, and provider configurations.

  • Business Knowledge including Health Care and a team culture

    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/1-3 Years

    TECHNOLOGY EXPERIENCES

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

    Technical - Aetna Applications///End User

    REQUIRED SKILLS

    Benefits Management/Interacting with Medical Professionals/ADVANCED

    General Business/Demonstrating Business and Industry Acumen/ADVANCED

    Sales/Managing Competitive Networks/ADVANCED

    DESIRED SKILLS

    Finance/Servicing Customers Profitably/ADVANCED

    General Business/Turning Data into Information/ADVANCED

    Sales/Negotiating collaboratively/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.

    #LI-EB1

    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