Contract Negotiator

Contract Negotiator

Develop, contract, maintain and enhance relationships with facilities, physicians and ancillary providers which serve as contractual networks of care for members; foster growth of managed care products; and enhance profitability of Aetna.

Recruits and negotiates 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.

Fundamental components & physical requirements include but are not limited to (* denotes essential functions):

• 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, group, hospital-based and physician contracts in support of network quality, availability and financial goals (*)
• Participates in the strategic recruitment of physicians satisfying specific network goals and objectives (*)
• Proficient in Excel and Word; ability to use search engines (*)
• Proven working knowledge of standard provider contracts, terms and language desired (*)

Additional information:

Education and certification requirements

Bachelor's degree desired or equivalent work experience (3+ years contracting)

Additional information (situational competencies, skills, work location requirements, etc.)

• Communication skills - Strong written and verbal communication skills

• Critical thinking, and interpersonal skills

• Mastery of provider contracts, contracting options, PADU (alternate language manual) guidelines as well as provider configurations

• In-depth knowledge of the managed care industry and practices, as well as a strong understanding of Aetna competitor strategies, practices, and financial/contracting arrangements

• Business knowledge including health care and Aetna culture, i.e., how to get things done within the company

• Solid negotiating skills

All your information will be kept confidential according to EEO guidelines.