Network Contract Manager

Welcome to Aetna, a leading healthcare company committed to providing high-quality and affordable services to our members. We are currently seeking a skilled Network Contract Manager to join our team and help us grow and maintain our provider network. With your expertise and dedication, you will play a crucial role in ensuring the success of our network and the satisfaction of our members. As a Network Contract Manager, you will have the opportunity to work with a diverse group of providers, negotiate contracts, and develop strong relationships to drive business results. If you are a driven and experienced professional with a passion for healthcare and a strong background in network management, we encourage you to apply for this exciting opportunity.

1. Develop and maintain relationships with healthcare providers, including negotiating contracts and monitoring their performance.
2. Monitor and analyze provider network data to identify areas for improvement and cost-saving opportunities.
3. Collaborate with internal teams to develop and implement network growth strategies.
4. Ensure compliance with all regulatory requirements and company policies.
5. Serve as a primary point of contact for providers, addressing any questions or concerns in a timely and professional manner.
6. Conduct provider trainings and education sessions to promote understanding of network policies and procedures.
7. Regularly review and update provider contracts to ensure alignment with company goals and objectives.
8. Act as a liaison between providers and internal departments to resolve any issues or disputes.
9. Develop and maintain a comprehensive understanding of the healthcare industry, including market trends and competitor strategies.
10. Proactively identify and resolve any network-related issues to maintain high levels of member satisfaction.
11. Analyze and report on network performance metrics to senior management.
12. Stay informed about changes in healthcare laws and regulations and make necessary adjustments to provider contracts.
13. Participate in regular meetings with cross-functional teams to discuss network performance and identify areas for improvement.
14. Continuously evaluate and streamline network processes to improve efficiency and reduce costs.
15. Collaborate with finance and accounting teams to ensure accurate and timely payment of provider claims.

According to JobzMall, the average salary range for a Network Contract Manager in Santa Ana, CA, USA is between $83,000 and $115,000 per year.

This salary range can vary depending on factors such as experience, education, and company size. Additionally, bonuses and benefits may also be included in the overall compensation package for a Network Contract Manager.

Aetna Inc. is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare. Since November 28, 2018, the company has been a subsidiary of CVS Health.