Aetna Dental NW Recruiter 44131BR in Upper Montclair, New Jersey
Req ID: 44131BR
Recruitment, contract, develop, and expand member access with solo dental provider's, group dental locations, dental practice management companies, both general practitioners and specialist which serve as contractual networks of care for members; foster growth of managed care contracted networks and enhance profitability of Aetna.
-Analyze geographic market data to include current and potential membership growth, Dental Liaison Specialist input, and competitor positioning etc.,
-Orchestrate solicitation mailings to desired expansion targets, maintain tracking of progress
-Plan and execute a process to contact and contract Aetna's dental plans to solo dentist, group dental locations and dental practice management companies, with timely and accurate documentation of results, and ability to travel within entire assigned territory
-Presentation of Dental Health Managed Organization plan design, compensation processes, and claim / encounter submission, referral process in person and via the telephone
-Review Dental Facilities for Aetna's standards of quality, in both administrative and technical abilities for initial contracting
-On site meetings for new office orientations, reorientations, new product training, service, and contractual issues.
-Participate and conduct meetings, conferences, and seminars with sales, brokers, providers, support and other constituents
-Presentation and demonstration of Aetna's electronic capabilities for dental providers to achieve companies goals and targets, promote all EDI initiatives
-Negotiate with external and internal source to obtain the commitments and contracts necessary to meet financial targets
-Special Ad Hoc projects as assigned
-Exhibits the following Dental NW Recruiter Behaviors
Full-Time Telework - Work at Home - NY area
(Some travel for in-person visits to dentist offices)
Experience with a Dental Competitor in Dental Office Recruitment & Contracting.
3 years in managed care environment dealing with either dental or medical providers.
Strong Organization, and time management skills
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Functional - Dental//1-3 Years
Functional - Products-Dental//1-3 Years
Functional - Network Management//1-3 Years
Functional - Communications//1-3 Years
Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User
Technical - Operating Systems//1-3 Years/End User
Technical - Telecommunications/Network Administration/1-3 Years/End User
Technical - Reporting Tools//1-3 Years/End User
General Business/Communicating for Impact/ADVANCED
Service/Handling Service Challenges/FOUNDATION
Full-Time Telework (WAH- New York territory)
ADDITIONAL JOB INFORMATION
This is an opportunity to expand the candidates experience in the Dental environment, with exposure to the benefits of Aetnas values, of the cultivating education, through working with an international company. Aetna offers working experience that exhibits Integrity, Excellence, Caring and Inspiration for the People we serve through the Aetna Values and Behaviors.
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