Manager, Contract Negotiations (Louisiana Medicaid)
Core
Recruit, negotiate, and execute physical and behavioral health provider contracts to ensure network expansion and adequacy targets for Aetna Better Health of Louisiana.
Role type
Manager, Contract Negotiations (Managed Care)
Builds
Provider network configurations and integration activities
Domain
Health insurance / Medicaid / Managed Care
Required skills
Contract negotiation, Managed care industry knowledge, Financial/reimbursement methodologies, Cost management, Strategic network design, Cross-functional collaboration
Preferred skills
Louisiana Medicaid provider landscape knowledge
Technologies
MS Office Suite
Responsibilities
Recruit and negotiate provider contracts, Optimize interactions with providers and internal partners, Identify and manage cost issues, Design and implement network configurations, Resolve escalated claims and contract issues, Manage provider compensation and pricing models
Seniority
Manager, hands-on IC