Contract Negotiator (WAH/Telecommute within Chicagoland Area)Primary Location: Chicago, Illinois
Additional Locations: IL-Chicago Apply
Negotiates, re-negotiates and executes competitive contracts with providers in accordance with company standards in order to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals and medical cost initiatives.
Negotiates competitive contracts with market based, individual or group/system providers in support of market or regional strategies. Manages provider compensation and pricing development activities. Responsible for understanding and managing medical cost issues. Initiates appropriate cost saving initiatives. Experience in negotiating Medicare Advantage contracts. Assists with the design, development, management, and or implementation of strategic network configurations. May manage relationships, handle escalated service issues or support operational activities that may include, but are not limited to, database management, contract coordination or credentialing. Responsible for managing provider demographic information activities, medical records retrieval, escalated claims issues, credentialing issues, delegation activities, directory auditing for CMS, etc.
Strong communication, critical thinking, problem resolution and interpersonal skills.
3-5 years related experience, proven and proficient negotiating skills.
Proven working knowledge of competitor strategies, complex contracting options, value based contracting, financial/contracting arrangements and regulatory requirements.
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Functional - Network Management/Contract negotiation/1-3 Years
Technical - Aetna Applications/Strategic Contracts Manager/1-3 Years/End User
Technical - Aetna Applications/Enterprise Provider Database System/1-3 Years/End User
Technical - Aetna Applications///
General Business/Demonstrating Business and Industry Acumen/ADVANCED
General Business/Turning Data into Information/ADVANCED
General Business/Consulting for Solutions/ADVANCED
Leadership/Collaborating for Results/ADVANCED
Sales/Managing Competitive Networks/ADVANCED
ADDITIONAL JOB INFORMATION
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 candidates'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.
Jobs for you
Recently Viewed Jobs
You do not have any recently viewed jobs
Your Saved Jobs
You do not have any saved jobs
Sign up for Job Alerts
Join our Talent Community
At Aetna, we are pioneering a total approach to health and wellness and we need talented candidates like you to join our team. Become a member of our talent community to be the first to know about career initiatives that match your skills and interests as they become available, in addition to details on upcoming events, networking opportunities, and news about Aetna.
Join Our Talent Community
Sign up to receive information about job openings that are tailored to your skills and interests. Plus, get the latest career news from Aetna.