Req ID: 33999BR
Office Based Position in San Antonio, TX
POSITION SUMMARY
Please note: This position is located in our San Antonio, TX office and is not a work-from-home opportunity. The Contract Negotiator will negotiate, renegotiate, and execute large physician group and ancillary contracts in accordance with company standards in order to maintain and enhance provider networks while meeting accessibility, quality and financial metrics.
Fundamental Components:
Accountable for all aspects of provider recruitment and contracting as well as ad hoc network contracting. Responsible for negotiating and renegotiating, new and existing provider agreements, including individual, complex group, value based, hospital based and large group provider contracts in support of network quality availability and financial metrics. Participate in the strategic recruitment of value based contracts satisfying specific network goals and objectives. Provide network development, maintenance and refinement activities and strategies in support of cross-market network management units. Partner across the organization to garner support for network contracting activities to ensure all aspects of operational implementation are completed in a timely and accurate basis.
BACKGROUND/EXPERIENCE desired:
Solid negotiation skills Good analytical, problem solving, decision-making skills Managing Competitive and Complex Networks In depth knowledge of the managed care industry and practices. Mastery of provider contracts and contracting options. Strong written and verbal communication.
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 - Network Management/Provider relations/4-6 Years
Functional - General Management/Data analysis & interpretation/4-6 Years
Functional - Project Management/Issue identification and analysis/4-6 Years
TECHNOLOGY EXPERIENCES
Technical - Desktop Tools/Microsoft Outlook/4-6 Years/
Technical - Desktop Tools/Microsoft Explorer/4-6 Years/
Technical - Operating Systems/Windows/4-6 Years/
REQUIRED SKILLS
Benefits Management/Interacting with Medical Professionals/ADVANCED
General Business/Demonstrating Business and Industry Acumen/ADVANCED
Sales/Negotiating collaboratively/ADVANCED
DESIRED SKILLS
General Business/Turning Data into Information/ADVANCED
Sales/Managing Competitive Networks/ADVANCED
ADDITIONAL JOB INFORMATION
Location: San Antonio, Texas
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. Clickhereto review the benefits associated with this position.
Job Function: Health Care