Managed Care Contract Specialist at Aetna (CVS Health), Minneapolis, Minnesota

Job Description

Company Overview:
Aetna (CVS Health) is a leading healthcare administration company in the United States, dedicated to improving the quality and affordability of healthcare services for individuals and communities. As a part of CVS Health, Aetna is committed to providing innovative solutions and personalized care to meet the diverse needs of its members.

Key Responsibilities For Managed Care Contract Specialist:
- Develop and negotiate managed care contracts with healthcare providers, ensuring alignment with company goals and regulatory requirements.
- Analyze contract terms and reimbursement rates to optimize cost-effectiveness and quality of care.
- Collaborate with internal teams to evaluate contract performance and identify areas for improvement.
- Stay informed about industry trends and regulations to ensure compliance and competitive positioning.
- Manage contract databases and documentation to track agreements and facilitate reporting.

Required Qualifications:
- Bachelor's degree in Healthcare Administration, Business, or related field.
- 3+ years of experience in managed care contracting or provider relations within the healthcare industry.
- Strong understanding of healthcare reimbursement methodologies and contract negotiation principles.
- Excellent analytical skills with the ability to interpret complex contract terms and financial data.
- Proficient in Microsoft Office Suite and contract management software.

Desired Skills:
- Master's degree in Healthcare Administration, Business, or related field.
- Professional certification in managed care contracting or healthcare compliance.
- Experience working with large healthcare networks and integrated delivery systems.
- Knowledge of value-based care models and alternative payment arrangements.
- Strong communication and interpersonal skills for building effective relationships with stakeholders.

Compensation & Benefits:
The annual salary range for the Managed Care Contract Specialist position at Aetna (CVS Health) in Minneapolis, Minnesota is $70,000 to $90,000, commensurate with experience and qualifications. In addition to competitive compensation, Aetna offers a comprehensive benefits package, including health insurance, retirement plans, paid time off, and professional development opportunities.

How to Apply:
To apply for the Managed Care Contract Specialist position at Aetna (CVS Health) in Minneapolis, please visit our careers website and submit your resume along with a cover letter outlining your relevant experience and qualifications. We look forward to reviewing your application and potentially welcoming you to our dynamic team dedicated to shaping the future of healthcare administration.

Required Skills

  • Electronic Health Records (EHR)
  • Medical Terminology
  • Data Entry Accuracy
  • HIPAA Compliance

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