Aetna Network Account Manager (Hospital-based Physician Contract Negotiation) in San Antonio, Texas
Req ID: 37473BR
This position will sit in our San Antonio, TX office location.
Negotiates, re-negotiates and executes physician 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 physician and value based contracting as well as ad/hoc network contracting, as assigned Responsible for re-negotiating or negotiating solo, group, and hospital-based 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
Analytical/data driven decision-making skills
Strong analytical and written/oral communication skills.
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
Benefits Management/Interacting with Medical Professionals/ADVANCED
General Business/Demonstrating Business and Industry Acumen/FOUNDATION
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.
Job Function: Health Care