Skip to main content

A new day in healthcare. Together, CVS Health and Aetna help people on their path to better health.

Contract Negotiator

Primary Location: Dallas, TX
Additional Locations: TX-Cleburne, TX-Dallas, TX-Grand Prairie, TX-Irving, TX-Lewisville
Apply
Description:
POSITION SUMMARY
Negotiates, executes, reviews, and analyzes contracts and/or handles dispute resolution and settlement negotiations with smaller providers (i.e. local, individual providers, small groups/systems) in accordance with company standards in order to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and financial goals and cost initiatives

Fundamental Components:
Negotiates, executes, reviews, and analyzes contracts and/or handles dispute resolution and settlement negotiations with solo, small group, or local providers. Manages contract performance in support of network quality, availability, and financial goals and strategies. Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
Collaborates cross-functionally to contribute to provider compensation and pricing development activities and recommendations, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities.
Responsible for identifying and making recommendations to manage cost issues and supporting cost saving initiatives and/or settlement activities.
Provides network development, maintenance, and refinement activities and strategies in support of cross-market network management unit. Assists with the design, development, management, and or implementation of strategic network configurations, including integration activities.
May optimize interaction with assigned providers and internal business partners to manage relationships and ensure provider needs are met. Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information.

BACKGROUND/EXPERIENCE desired:
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.


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/1-3 Years
Functional - Network Management/Physician recruiting - medical/1-3 Years
Functional - Network Management/Provider relations/1-3 Years


TECHNOLOGY EXPERIENCES
Technical - Desktop Tools//1-3 Years/End User


REQUIRED SKILLS
Leadership/Developing and Executing Strategy/ADVANCED
Sales/Negotiating collaboratively/ADVANCED
Service/Creating a Differentiated Service Experience/ADVANCED


DESIRED SKILLS
General Business/Demonstrating Business and Industry Acumen/ADVANCED
General Business/Turning Data into Information/ADVANCED


Telework Specifications:
Looking for candidates located in smaller Texas markets; NOT located in Dallas, Houston, Austin or San Antonio

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.


Potential Telework Position:
Yes

Percent of Travel Required:
10 - 25%

Click To Review Our Benefits (PDF)

Apply

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.