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Join Aetna's Network Management team as a behavioral health Contract Negotiator and play a key role in building and maintaining a high-performing provider network. You'll leverage your negotiation skills and analytical expertise to secure competitive contracts, support value-based care initiatives, and drive positive outcomes for our members and partners.
Job Responsibility:
Negotiate competitive contracts with behavioral healthcare providers, ensuring alignment with internal guidelines and financial standards
Draft and review contract language, collaborating with cross-functional teams for non-standard terms
Conduct financial and competitive analyses to achieve best-in-market discounts and meet financial targets
Manage contract performance and coordinate with internal departments to resolve issues related to contract execution, loading, and ongoing maintenance
Support the implementation of value-based contracts in line with business strategies
Build and maintain strong relationships with key providers, ensuring timely resolution of escalated issues such as claims, contract interpretation, and provider data accuracy
Negotiate settlements and recruit providers as needed to ensure network adequacy and support expansion goals
Maintain accountability for specific medical cost initiatives
Requirements:
4+ years of provider contracting and relationship experience, including contract language, rate proposals, and financial analysis
Proficiency in Microsoft Word, Excel, and Office Suite
Demonstrated ability to use competitive and financial data to negotiate favorable contracts
Ability to travel up to 10% of the time in assigned territory
Bachelor's degree or equivalent combination of education and professional experience
Nice to have:
Strong critical thinking, problem-solving, organizational, communication, and interpersonal skills
Behavioral Health contracting experience
Ability to manage multiple negotiations and tasks simultaneously, meeting deadlines and maintaining strong relationships internally and externally
Experience with value-based contract negotiation or management
Candidates residing in the Central region and Central or Mountain time zones
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