Provider Advocate

Are you passionate about advocating for others and making a positive impact in the healthcare industry? Aetna is seeking a Provider Advocate to join our team and help us deliver high-quality, affordable care to our members. As a Provider Advocate, you will serve as a liaison between Aetna and our network of providers, ensuring that their needs and concerns are addressed while also promoting collaboration and strong relationships. We are looking for a driven, empathetic, and detail-oriented individual with experience in healthcare and a strong understanding of provider networks. If you are ready to use your skills and expertise to make a meaningful difference in the lives of others, we encourage you to apply for this exciting opportunity.

1. Serve as the main point of contact and advocate for Aetna's network of healthcare providers.
2. Build and maintain strong relationships with providers, ensuring their needs and concerns are addressed in a timely and effective manner.
3. Promote collaboration and open communication between Aetna and providers to improve the quality and affordability of care for members.
4. Stay up-to-date on industry trends, regulations, and policies related to provider networks and advocate for necessary changes or improvements.
5. Conduct regular visits and meetings with providers to understand their unique challenges and identify opportunities for improvement.
6. Maintain a comprehensive understanding of Aetna's products, services, and networks to effectively communicate with providers.
7. Collaborate with internal teams to resolve provider issues and ensure timely and accurate reimbursement.
8. Act as a liaison between Aetna and providers during contract negotiations, ensuring fair and beneficial terms for both parties.
9. Monitor provider performance and identify areas for improvement to enhance the overall member experience.
10. Educate providers on Aetna's policies and procedures to ensure compliance and adherence to quality standards.
11. Analyze data and metrics to identify trends and patterns that could impact provider relationships and make recommendations for improvement.
12. Participate in cross-functional projects and initiatives aimed at enhancing the provider experience and improving overall performance.
13. Demonstrate a strong understanding of the healthcare industry, particularly in regards to provider networks, reimbursement, and regulations.
14. Represent Aetna at industry events and conferences to promote the company's mission and build relationships with potential and existing providers.
15. Demonstrate a high level of professionalism, empathy, and discretion when dealing with sensitive provider issues.

According to JobzMall, the average salary range for a Provider Advocate in Plymouth, MN, USA is $50,000 to $70,000 per year. This can vary depending on factors such as years of experience, education level, and specific job responsibilities within the role.

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.