Provider Network Contracting Manager-Metro NY
Are you a motivated and experienced healthcare professional looking for a challenging and rewarding career opportunity? Aetna is seeking a Provider Network Contracting Manager to join our team in Metro NY. In this role, you will be responsible for developing and maintaining strong relationships with healthcare providers and negotiating contracts to ensure our members have access to high-quality care. The ideal candidate will have a strong background in healthcare contracting and a passion for building and maintaining partnerships. Join us and make a positive impact on the healthcare industry while advancing your career with a leading healthcare company.
- Develop and maintain relationships with healthcare providers in the Metro NY area
- Negotiate contracts with healthcare providers to ensure high-quality care for Aetna members
- Analyze and evaluate provider performance data to identify areas for improvement and negotiate appropriate contract terms
- Collaborate with internal teams to develop innovative contracting strategies and solutions
- Conduct market research and analysis to identify potential providers and network expansion opportunities
- Stay current on industry trends and regulations to ensure compliance and inform business decisions
- Lead contract negotiations and manage all aspects of the contracting process, including drafting, reviewing, and finalizing contracts
- Serve as a primary point of contact for provider inquiries and concerns, and provide timely and effective resolution
- Develop and maintain knowledge of Aetna’s products and services to effectively communicate with providers and address any issues or concerns
- Build and maintain partnerships with providers to foster a collaborative and mutually beneficial relationship
- Monitor and track provider performance and maintain documentation of contract compliance
- Identify and address any issues or concerns raised by providers, and work to resolve any conflicts in a timely manner
- Act as a subject matter expert on healthcare contracting and provide guidance and support to internal teams as needed.
Bachelor's Degree In Business, Healthcare Administration, Or A Related Field.
Minimum Of 5 Years Experience In Provider Network Contracting And Management.
Strong Knowledge Of Healthcare Industry Trends And Regulations, Particularly In The Metro Ny Market.
Excellent Negotiation And Communication Skills, With The Ability To Build And Maintain Relationships With Providers.
Experience With Contract Analysis And Development, Including The Ability To Identify Cost-Saving Opportunities And Negotiate Favorable Terms For Aetna.
Strategic Planning
Data Analysis
Market Research
Contract Negotiation
Relationship Building
Contract compliance
Utilization management
network development
Provider Relations
Provider Enrollment
Provider Network Management
Communication
Leadership
Time management
creativity
flexibility
Teamwork
collaboration
Adaptability
Problem-Solving
Empathy
According to JobzMall, the average salary range for a Provider Network Contracting Manager-Metro NY is $95,000-$120,000 per year. This can vary depending on the specific company, location, and years of experience.
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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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