Aetna Contract Negotiator in Orlando, Florida

Req ID: 45906BR

POSITION SUMMARY

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.

Fundamental Components:

  • Accountable for all aspects of hospital, ancillary provider, physician and value-based contracting.

  • 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

    BACKGROUND/EXPERIENCE desired:

  • The successful candidate must have 4-6 years of network development experience or comparable healthcare experience in contracting/negotiating.

  • Must have knowledge of various payment methodologies for healthcare.

  • Strong communication, critical thinking, problem solving and interpersonal skills.

  • Knowledge of the managed care industry and Medicare.

    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/4-6 Years

    Functional - Network Management/Physician recruiting - medical/4-6 Years

    Functional - Leadership/Act as company spokesperson to external constituents/4-6 Years

    TECHNOLOGY EXPERIENCES

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

    Technical - Desktop Tools/Adobe Acrobat Suite v5/1-3 Years/End User

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

    REQUIRED SKILLS

    Benefits Management/Interacting with Medical Professionals/ADVANCED

    Sales/Managing Competitive Networks/ADVANCED

    Sales/Negotiating collaboratively/ADVANCED

    DESIRED SKILLS

    Leadership/Developing and Executing Strategy/ADVANCED

    Service/Providing Solutions to Constituent Needs/ADVANCED

    Telework Specifications:

    Full-time Telework (WAH) considered for candidates residing in the Central Florida area. Training period in the office may be required

    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.

    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