Manager, Contract Negotiator - Metro NY
Core
Lead contract negotiations for assigned providers to support Aetna's network strategy, affordability goals, and member experience objectives in the Metro New York market.
Role type
Manager, Contract Negotiator (Healthcare)
Builds
Provider agreements with hospitals, physician groups, and ancillary providers
Domain
Healthcare / Health Insurance
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
negotiation, financial analysis, reimbursement methodology knowledge, stakeholder management, problem-solving, Microsoft Excel, PowerPoint
Preferred skills
hospital/IDN contracting experience, value-based care knowledge, network adequacy standards, claims analysis, contract administration tools
Responsibilities
Negotiate, execute, renew, and maintain provider agreements; Develop and implement contracting strategies; Analyze provider reimbursement proposals and financial models; Manage contract amendments and fee schedule changes; Establish relationships with provider executives; Collaborate with cross-functional teams (Finance, Legal, Clinical); Identify cost savings and network optimization opportunities; Support value-based care arrangements; Resolve provider disputes; Ensure regulatory compliance; Support provider recruitment and network expansion; Prepare executive summaries and business cases; Coach and mentor colleagues
Seniority
Manager, hands-on IC with mentorship duties
