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

Provider Contract Negotiator

Primary Location: Jacksonville, Florida
Additional Locations: FL-Jacksonville
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Description:
This position will act as the primary resource for assigned key physician and ancillary providers. The ideal candidate will also be responsible for supporting network in building/maintaining positive relationships with assigned providers.

Fundamental Components:
*Primary contact for some of our key large/complex providers
*Strong, confident communication and presentation skills to work with key managed care contacts
*Develop and maintain positive relationships with our provider partners
*Collaborates cross-functionally to ensure resolution of escalated issues or projects
*Educates internal and external parties, as needed to ensure compliance with contract policies
*Meet with key providers to ensure service levels are meeting expectations
*Proactive approach to conflict resolution and provider network management

Background Experience:

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.

Required Skills:
General Business - Demonstrating Business and Industry Acumen, Service - Providing Solutions to Constituent Needs

Desired Skills:
Leadership - Collaborating for Results, Sales - Managing Competitive Networks, Sales - Negotiating Collaboratively

Functional Skills:
Claim - Claim processing - Medical or Hospital - ACAS, Lega - Compliance, Network Management - Contract negotiation, Network Management - Credentialing, Network Management - Provider relations

Potential Telework Position:
No

Percent of Travel Required:
0 - 10%

EEO Statement:
Aetna is an Equal Opportunity, Affirmative Action Employer

Benefit Eligibility:
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Candidate Privacy Information:
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

Click To Review Our Benefits (PDF)

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