Aetna

Network Development and Contracting, Primary Care

Aetna

Remote
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Welcome to Aetna! We are a leading healthcare company dedicated to providing quality care and innovative solutions to our customers. We are currently seeking a talented individual to join our team as a Network Development and Contracting professional in the Primary Care department. This role plays a crucial part in building and maintaining our network of primary care providers, ensuring our members have access to the best healthcare services. If you have a passion for healthcare, strong negotiation skills, and a drive for developing new relationships, we want to hear from you! Join us in making a positive impact on the healthcare industry and help us improve the lives of our members.

  1. Develop and maintain relationships with primary care providers to build a strong and diverse network.
  2. Negotiate contracts with primary care providers to ensure fair and competitive rates for services.
  3. Collaborate with internal teams to identify and recruit qualified primary care providers to join our network.
  4. Analyze market trends and competitor strategies to inform network development and contracting decisions.
  5. Monitor and review provider performance to ensure quality of care and adherence to contract terms.
  6. Identify opportunities for network growth and expansion in key geographic areas.
  7. Serve as a primary point of contact for providers, addressing any issues or concerns and maintaining positive relationships.
  8. Maintain accurate and up-to-date provider data in internal systems.
  9. Participate in cross-functional projects and initiatives to support overall business objectives.
  10. Stay updated on industry regulations and trends related to primary care providers and network development.
  11. Collaborate with internal stakeholders to develop and implement strategies for improving member satisfaction and retention.
  12. Act as an ambassador for the company, promoting our mission and values to potential and current primary care providers.
Where is this job?
This job opening is listed as 100% remote
Job Qualifications
  • Excellent Negotiation And Communication Skills.

  • Proficiency In Data Analysis And Contract Management Software.

  • Bachelor's Or Master's Degree In Healthcare Administration, Business Administration, Or A Related Field.

  • 3-5 Years Of Experience In Provider Network Development And Contracting, Preferably In The Primary Care Sector.

  • Strong Understanding Of Healthcare Industry Regulations And Reimbursement Models.

Required Skills
  • Contract Management

  • Data Analysis

  • Contract Negotiation

  • Market analysis

  • Contract compliance

  • Network optimization

  • network development

  • Provider Relations

  • Provider Recruitment

  • Primary Care Expertise

  • Fee Schedule Development

Soft Skills
  • Communication

  • Conflict Resolution

  • Emotional Intelligence

  • Leadership

  • Time management

  • creativity

  • Attention to detail

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Network Development and Contracting, Primary Care is $80,000-120,000 per year. However, this can vary depending on the specific job responsibilities, location, and years of experience. Some positions in this field may offer higher salaries, especially for those with advanced degrees and experience in a specialized area. Additionally, bonuses, benefits, and other compensation packages may also impact the overall salary range.

Additional Information
Aetna is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedMarch 13th, 2025
Apply BeforeJuly 20th, 2025
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About Aetna

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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