Develop, contract, maintain and enhance relationships with facilities, physicians and ancillary providers to foster growth of managed care products and enhance profitability. Recruits and negotiates physician and/or provider contracts to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals.
Requirements
- Bachelor's degree desired or equivalent work experience (3+ years contracting)
- 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