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.