Aetna Contract Negotiator - 51069BR in Tampa, Florida
Req ID: 51069BR
Negotiates, competitive and complex healthcare contractual relationships with providers according to pre-determined internal guidelines and financial standards. Manage tactical day to day relationship with assigned providers.
Position will be focused on hospitals/hospital systems and may also include complex physician and ancillary providers.
Manages provider compensation/reimbursement and pricing development activities.
Understands medical cost issues and how to develop action plans.
Initiates legal reviews as needed; ensure all required reviews completed by appropriate functional areas.
Facilitates resolution of complex provider issues.
Strong communication, critical thinking, problem resolution and interpersonal skills.
3-5 years related experience, proven and proficient negotiating skills with desire to grow.
Ability to negotiate contract language and understand provider reimbursement impacts.
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Functional - Network Management/Contract negotiation/4-6 Years
Functional - Network Management/Provider relations/4-6 Years
Technical - Desktop Tools/Microsoft Word/4-6 Years/End User
Technical - Desktop Tools/Microsoft PowerPoint/1-3 Years/End User
Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User
Service/Providing Solutions to Constituent Needs/ADVANCED
General Business/Turning Data into Information/ADVANCED
Sales/Managing Competitive Networks/ADVANCED
Service/Creating a Differentiated Service Experience/ADVANCED
General Business/Demonstrating Business and Industry Acumen/ADVANCED
ADDITIONAL JOB INFORMATION
This positions leads to a wealth of opportunities
Department of high performers and experts
Flexibility in schedule
Ability to telework
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