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.

Aetna is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

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