Aetna Contract Negotiator in Nashville, Tennessee
Req ID: 41793BR
Establishes contractual relationships with large groups/systems in order to maintain and enhance provider networks while maintaining financial goals and cost initiatives.
Primary focus will be on the development of the TN's Medicare network and associated products. Effectively negotiates complex, competitive contractual relationships with providers in support of national and regional network strategies. Manages provider compensation/reimbursement and pricing development activities. Responsible for understanding and managing medical cost issues and initiating appropriate action in support of medical cost management. Provides sales and marketing support, community relations and guidance with comprehension of applicable federal and state regulations.
Must possess a successful track record negotiating large, multi-specialty provider group and ancillary contracts. Experience with value based contracting desirable, as well as comprehensive understanding of CMS rules and regulations.
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Functional - Network Management/Physician recruiting - medical/1-3 Years
Functional - Network Management/Contract negotiation/1-3 Years
Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User
Technical - Desktop Tools/Microsoft Word/1-3 Years/End User
Service/Providing Solutions to Constituent Needs/ADVANCED
Option for telework will be evaluated after a certain period of employment
ADDITIONAL JOB INFORMATION
Team-centered environment with significant opportunities for 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