Aetna Contract Negotiator (physician, ancillary, hospital and value-based provider contracts) in Plano, Texas
Req ID: 43952BR
This position will work in our Plano, TX office location.
Negotiates, re-negotiates and executes physician, ancillary, hospital and value based provider contracts in accordance with company standards in order to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals. Develops strong relationships with network providers and internal business partners leading to the achievement of provider satisfaction, medical cost targets, network growth and/or efficiency targets.
Accountable for all aspects of hospital, ancillary provider, physician and value based 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
Responsible for managing value based agreements
Participates in the strategic recruitment of physicians satisfying specific network goals and objectives
Provides network development, maintenance and refinement activities and strategies
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
Demonstrate ability to negotiate contracts
Demonstrate ability to build strong relationships
Demonstrate ability to use Excel/Access to manage medical cost
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Technical - Desktop Tools//1-3 Years/End User
Finance/Servicing Customers Profitably/ADVANCED
Service/Creating a Differentiated Service Experience/ADVANCED
General Business/Turning Data into Information/ADVANCED
Sales/Managing Competitive Networks/ADVANCED
Service/Providing Solutions to Constituent Needs/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.
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