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Sr Analyst,Ntwrk Relations id-7201

Job Description

Are you a skilled network relations professional with a passion for healthcare? Aetna, a leading health insurance company, is seeking a Senior Analyst to join our team. In this role, you will be responsible for building and maintaining relationships with our provider networks, ensuring high quality and cost-effective care for our members. We are looking for a highly motivated and detail-oriented individual with a strong understanding of healthcare industry trends and regulations. If you have a proven track record of success in network relations and are committed to making a positive impact on the healthcare industry, we want to hear from you!

  1. Develop and maintain strong relationships with healthcare provider networks to ensure high quality and cost-effective care for Aetna members.
  2. Monitor and analyze healthcare industry trends and regulations to inform network development strategies.
  3. Collaborate with internal teams such as product, sales, and operations to support network expansion and growth.
  4. Negotiate contracts with providers, ensuring favorable terms for Aetna and its members.
  5. Conduct regular performance reviews and identify areas for improvement with network providers.
  6. Manage and resolve any issues or concerns raised by network providers in a timely and professional manner.
  7. Stay up-to-date on industry best practices and make recommendations for process improvements.
  8. Utilize data and analytics to identify opportunities for network optimization and cost savings.
  9. Represent Aetna at industry conferences and events to network and promote the company's mission and values.
  10. Mentor and train junior team members to ensure a high level of performance and development within the network relations team.

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Job Qualifications

  • Bachelor's Degree In Business Administration, Healthcare Management, Or Related Field.
  • Minimum Of 5 Years Of Experience In Network Relations Or Provider Contracting Within The Healthcare Industry.
  • Strong Understanding Of Healthcare Regulations And Reimbursement Methodologies.
  • Excellent Communication And Negotiation Skills To Effectively Manage Relationships With Network Providers.
  • Proven Analytical And Problem-Solving Abilities To Identify And Resolve Network-Related Issues.

Required Skills

  • Strategic Planning
  • Contract Management
  • Project Management
  • Vendor Management
  • Data Analysis
  • Communication
  • Negotiation
  • Relationship Building
  • network management
  • Team Leadership
  • Risk assessment
  • Problem-Solving

Soft Skills

  • Communication
  • Conflict Resolution
  • Leadership
  • Time management
  • creativity
  • Attention to detail
  • Teamwork
  • Adaptability
  • Problem-Solving
  • Empathy.
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