Provider Network Manager
The Provider Network Manager role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.
About the role
The Provider Network Manager is responsible for developing the provider network through contract negotiations (language and rates), relationship development, and servicing. Typically works with less-complex to complex providers, including smaller institutional providers, professional providers with more complex contracts, medical groups, physician groups, small hospitals that are not part of a health system, ancillary providers, and providers in areas with increased competition or where greater provider education around managed care concepts is required. Contracts may involve non-standard arrangements that require a moderate level of negotiation skills. Value-based concepts understanding, fee schedules can be customized, and works with increased independence and requires increased use of judgment and discretion. May work on cross-functional projects requiring collaboration with other key areas. Serves as a communication link between professional providers and the company. Conducts more complex negotiations and drafts documents. Assists in preparing financial projections and conducting analysis as required.
Responsibilities
- Works with less-complex to complex providers
- Includes smaller institutional providers, professional providers with more complex contracts, medical groups, physician groups, small hospitals that are not part of a health system, ancillary providers, and providers in areas with increased competition or where greater provider education around managed care concepts is required
- Contracts may involve non-standard arrangements that require a moderate level of negotiation skills
- Value based concepts understanding
- Fee schedules can be customized
- Works with increased independence and requires increased use of judgment and discretion
- May work on cross-functional projects requiring collaboration with other key areas
- Serves as a communication link between professional providers and the company
- Conducts more complex negotiations and drafts documents
- Affords assistance in preparing financial projections and conducting analysis as required
Requirements
- Requires a BA/BS degree and a minimum of 3 years’ experience in contracting, provider relations, provider servicing; or any combination of education and experience, which would provide an equivalent background
Preferred Skills, Capabilities And Experience
- Travels to worksite and other locations as necessary
Benefits
At Elevance Health, we offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Pay
Details regarding pay are not specified in the job posting.
Schedule
Details regarding schedule are not specified in the job posting.
Qualifications
- Requires a BA/BS degree and a minimum of 3 years’ experience in contracting, provider relations, provider servicing; or any combination of education and experience, which would provide an equivalent background
Skills
- Value based concepts understanding
- Fee schedules can be customized
- Works with increased independence and requires increased use of judgment and discretion
- May work on cross-functional projects requiring collaboration with other key areas
- Serves as a communication link between professional providers and the company
- Conducts more complex negotiations and drafts documents
- Affords assistance in preparing financial projections and conducting analysis as required
Benefits
At Elevance Health, we offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Pay
Details regarding pay are not specified in the job posting.
Schedule
Details regarding schedule are not specified in the job posting.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
Equal Opportunity Employer
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.