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Join Aetna/CVS Health as the Manager of Contract Negotiation. In this high impact, individual contributor role, you will negotiate, execute, review, and analyze physician and ancillary contracts in the Wisconsin and Minnesota Market. The role supports Medicare and Commercial markets.
Job Responsibility:
Negotiate, execute, review, and analyze physician and ancillary contracts in the Wisconsin and Minnesota Market
Resolve escalated claims issues
Support provider demographic data accuracy initiatives
Explain reimbursement policies
Assist in settlement negotiations with providers
Ensure contract performance aligns with accessibility, compliance, quality, financial, and cost goals
Establish and implement programs for Contract Negotiations initiatives
Forecast industry changes and conduct business impact assessments
Design systems to recruit providers for network expansion
Integrate cross-functional collaboration for provider compensation and pricing development
Manage cost issues and support cost-saving initiatives
Support network development, maintenance, and refinement activities
Requirements:
3+ years' experience in provider contracting, provider relations or related experience
Proficient in Office Suite, expertise in Excel and Word
Bachelor's Degree or equivalent combination of education and experience
Nice to have:
Reside in the Great Lakes region (Wisconsin, Illinois, Indiana, Michigan and Minnesota) with ability to work those states time zones
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