Are you a highly organized and motivated professional with experience in contract management and an interest in the healthcare industry? Aetna is seeking a Network Contract Manager to join our team and play a key role in our network development and maintenance efforts. This position requires strong communication and negotiation skills, as well as the ability to effectively manage multiple contracts and relationships. If you are passionate about ensuring the delivery of high-quality healthcare services to our members and have the necessary qualifications, we would love to hear from you.
- Develop, maintain, and manage contracts with healthcare providers on behalf of Aetna.
- Negotiate terms and conditions of contracts to ensure favorable terms for Aetna and its members.
- Monitor and track contract compliance to ensure adherence to established standards and regulations.
- Collaborate with cross-functional teams to identify and address any issues or concerns related to contracts.
- Communicate regularly with healthcare providers to build and maintain positive relationships.
- Stay up-to-date with industry trends and changes in regulations to inform contract negotiations and management.
- Utilize data and analytics to evaluate contract performance and make recommendations for improvement.
- Ensure timely and accurate completion of all contractual obligations.
- Identify and mitigate potential risks associated with contracts.
- Train and educate internal stakeholders on contract policies and procedures.
- Participate in the development and implementation of new contract management processes.
- Act as a subject matter expert on contract management within the healthcare industry.
- Maintain organized and detailed records of all contract-related activities.
- Continuously seek opportunities for cost savings and efficiencies within contracts.
- Represent Aetna in a professional and ethical manner at all times.
Bachelor's Degree In Business, Healthcare Administration, Or Related Field.
Minimum Of 3-5 Years Of Experience In Network Contract Management Or Healthcare Provider Relations.
Strong Negotiation Skills And Ability To Develop And Maintain Relationships With Providers.
Knowledge Of Healthcare Industry, Including Reimbursement Methodologies And Regulatory Requirements.
Proficient In Data Analysis And Contract Language Interpretation.
Financial Analysis
Communication Skills
Project Management
Vendor Management
Data Analysis
Contract Negotiation
Relationship Building
Risk assessment
Contract drafting
Legal Compliance
Jurisdictional Knowledge
Communication
Conflict Resolution
Customer Service
Leadership
Time management
creativity
Teamwork
Adaptability
Problem-Solving
Empathy
According to JobzMall, the average salary range for a Network Contract Manager in Alhambra, CA, USA is $70,000 - $120,000 per year. However, this can vary depending on factors such as the size and industry of the company, level of experience, and specific job responsibilities.
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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.

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