Remote Contract Negotiation Manager — Medicaid/Claims

MaziCTools; Los Angeles (CA); Hybrid; USD 48,000 - 63,000; Full time

Benefits offered by this job

Health benefits

Dental and vision coverage

401(k) plan

Employee stock purchase plan

Paid time off

Education assistance

Job summary

Aetna is seeking a Contract Negotiation Manager to oversee complex Medicaid-related cases and settlements. This role requires careful analysis of claims, regulatory compliance, and efficient multitasking in a healthcare environment.

Ideal candidates will have 2+ years of clinical case handling experience, strong analytical skills, and proficiency with MS Office. This full-time position offers comprehensive benefits and opportunities within a large health services organization.

Qualifications

• 2 years of clinical case handling experience in healthcare.
• Analytical skills to investigate denied claims.
• Experience in a production/clinical environment is preferred.
• Proficiency with MS Office Suite and general computer skills.

Responsibilities

• Review and settle complex Medicaid-related cases.
• Investigate denied claims and ensure regulatory compliance.
• Handle multiple tasks accurately and efficiently.
• Communicate clearly with internal teams and stakeholders.

Skills

Clinical case handling

Analytical thinking

MS Office Suite

Multitasking

Education

Bachelor Degree

Tools

MS Office Suite

Job description

Aetna is seeking a Contract Negotiation Manager to oversee complex Medicaid-related cases and settlements. This role requires careful analysis of claims, regulatory compliance, and efficient multitasking in a healthcare environment.

Ideal candidates will have 2+ years of clinical case handling experience, strong analytical skills, and proficiency with MS Office. This full-time position offers comprehensive benefits and opportunities within a large health services organization.