Aetna Contract Negotiator in Jacksonville, Florida

Req ID: 44671BR

POSITION SUMMARY

Acts as the primary resource for assigned Medicare Primary Care Physician Groups and MSO's to establish, oversee, and maintain provider risk management and positive relationships and supports high value initiative activities. Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. 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. Full knowledge of Medicare Risk Contracting and servicing.

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 and MSO 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:

Medicare Risk contracting experience is strongly preferred. South Florida location is necessary for this position. Contractual negotiation experience with an understanding of provider services and contract language. - Excel at maintaining positive working relationships internally and externally. Familiar within the Jacksonville, FL market.

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/7-10 Years

Functional - Network Management/Physician recruiting - medical/7-10 Years

Functional - Network Management/Provider relations/7-10 Years

Functional - Finance/Financial analysis/4-6 Years

TECHNOLOGY EXPERIENCES

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

Technical - Desktop Tools/Microsoft Outlook/7-10 Years/End User

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

REQUIRED SKILLS

Finance/Servicing Customers Profitably/ADVANCED

General Business/Demonstrating Business and Industry Acumen/ADVANCED

Service/Creating a Differentiated Service Experience/ADVANCED

DESIRED SKILLS

General Business/Turning Data into Information/ADVANCED

Leadership/Collaborating for Results/ADVANCED

Leadership/Developing and Executing Strategy/ADVANCED

Telework Specifications:

Must reside in FL area and option for telework will be evaluated after a certain period of employment

Telework considered only for unique circumstances

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. 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.

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