Contract Negotiation Manager

• Constructs negotiation, execution, review, and analysis of contracts
• Delivers dispute resolution and settlement negotiations with providers
• Ensures contract performance aligns with accessibility, compliance, quality, financial, and cost goals
• Develop, maintain, and enhance working relationships with physicians/providers and local network and patient management teams in the markets with Aetna
• Establishes and implements programs and innovative initiatives for the organization to advance Contract Negotiations initiatives
• Forecasts changes within the Contract Negotiations industry, conducts business impact assessments, and develops modification strategies with the aid of process improvement methodologies
• Integrates cross-functional collaboration to contribute to provider compensation and pricing development activities and recommendations for negotiations and reimbursement modeling activities
• Determines recommendations to manage cost issues and support cost-saving initiatives and settlement activities
• Assists in the management of network development, maintenance, and refinement activities and strategies in support of cross-market network management units
• Coaches more junior colleagues in techniques, processes, and responsibilities
• Other duties and responsibilities as assigned by manager

• Minimum 2 years of provider contracting, claims management, or patient management experience
• Minimum 2 years' experience working with/or in a Claims environment
• 1-2 years' experience that includes ACAS and HRP claim platforms, products, and benefits
• patient management, provider relations, or claims management
• Bachelor's degree preferred/specialized training/relevant professional qualification

Experience with Aetna systems (SCM, Smart Front End, Rate Inquiry, Contract Inquiry)

• Affordable medical plan options
• a 401(k) plan (including matching company contributions)
• an employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility