Are you a highly organized and detail-oriented individual with a passion for managing relationships and contracts? Do you have experience in the healthcare industry and a strong understanding of network management? Aetna is seeking a skilled Network Contract Manager to join our team and oversee the negotiation and maintenance of contracts with healthcare providers. In this role, you will have the opportunity to utilize your expertise in network management while working for a company that is dedicated to improving the health and well-being of our members. If you possess excellent communication skills, a proactive mindset, and a strong ability to problem-solve, we encourage you to apply for this exciting opportunity.
- Negotiate and manage contracts with healthcare providers to ensure fair and beneficial terms for Aetna.
- Monitor and maintain relationships with existing providers, addressing any issues or concerns that may arise.
- Proactively identify and pursue new provider partnerships to expand Aetna's network.
- Stay updated on industry trends and regulations to ensure contract compliance.
- Collaborate with internal teams, such as legal and finance, to review and approve contract terms.
- Conduct thorough analysis of provider performance and utilization data to inform contract negotiations.
- Communicate contract updates and changes to internal stakeholders and external providers.
- Develop and maintain strong relationships with providers, addressing any concerns and providing support when needed.
- Ensure timely and accurate completion of all contract-related paperwork and documentation.
- Identify and implement process improvements to streamline contract management and enhance provider relationships.
- Resolve any contract disputes or issues in a timely and effective manner.
- Maintain confidentiality and handle sensitive information with discretion.
- Foster a collaborative and positive team environment within the network management department.
- Provide guidance and support to team members, sharing knowledge and expertise to enhance overall performance.
- Represent Aetna in a professional and positive manner when interacting with external stakeholders.
Bachelor's Or Master's Degree In Business Administration, Healthcare Administration, Or A Related Field.
Minimum Of 3-5 Years Of Experience In Healthcare Contract Management, Preferably In A Network Management Role.
Strong Understanding Of Healthcare Industry Trends, Regulations, And Contract Negotiation Principles.
Excellent Communication And Negotiation Skills, With The Ability To Build And Maintain Positive Relationships With Providers And Internal Stakeholders.
Proficient In Data Analysis And Contract Interpretation, With Experience In Developing And Implementing Network Strategies To Achieve Cost Savings And Improve Provider Performance.
Financial Analysis
Vendor Management
Data Analysis
Contract Negotiation
Relationship Management
Claims Processing
Compliance Management
Risk assessment
Contract drafting
Contract review
network development
Cost Containment
Communication
Conflict Resolution
Customer Service
Emotional Intelligence
Leadership
Time management
creativity
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Network Contract Manager in Irwindale, CA, USA is $90,000-$110,000 per year. However, this may vary depending on the specific company, years of experience, and other factors.
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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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