Job Title: Contract Negotiator
Location: Overland Park KS 66210
Duration:-3 months
Job Description:
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