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

Network Relations Consultant

Primary Location: Orlando, FL
Additional Locations: FL-Orlando
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Description:
This position will act as the primary resource for assigned key physicians/ancillaries for contracting activity and maintaining positive relationships. This role will also assist with complex issues regarding policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education needs.

Fundamental Components:
• Negotiates contracts for physician and ancillary providers according to pre-determined internal guidelines and financial standards. • Works cross-functionally to execute network strategies. • Maintains accountability for specific medical cost initiatives. • Completes the necessary steps to ensure that contracts are loaded into systems accurately and timely and manages implementation of new contracts with departments involved.



Background Experience:
Strong communication, critical thinking, problem resolution and interpersonal skills. 3+ years' related experience, proven and proficient negotiating skills. Proven working knowledge of industry standards, products, financial/contracting arrangements and regulatory requirements. Bachelor’s Degree or equivalent combination of education and experience.

Additional Job Information:
Opportunity to work independently in a fast-paced environment with potential for career growth.

Required Skills:
Leadership - Collaborating for Results, Sales - Negotiating Collaboratively, Service - Handling Service Challenges, Service - Providing Solutions to Constituent Needs, Service - Working Across Boundaries

Desired Skills:
General Business - Turning Data into Information, Sales - Managing Competitive Networks, Service - Managing Organizational Dynamics

Functional Skills:
Claim - Claims Administration - cost management, Management - Management - Network Management, Network Management - Contract negotiation, Network Management - Physician recruiting - medical, Network Management - Provider relations

Technology Experience:
Desktop Tool - Adobe Acrobat Suite v5, Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft PowerPoint, Desktop Tool - Microsoft Word

Potential Telework Position:
Yes

Percent of Travel Required:
10 - 25%

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 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.

Click To Review Our Benefits (PDF)

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