Jobs · Healthcare · Illinois

Provider Network Manager Sr - DME

Elevance Health · Chicago, IL · 2 mo ago
HybridHealthcare$92k–$151k/yrFull-time

About the role

The Provider Network Manager Senior role is responsible for developing the provider network through contract negotiations, relationship development, and servicing. The primary focus is on contracting and negotiating contract terms, particularly with complex providers like large institutional providers, large medical groups, and ancillary providers.

Responsibilities

  • Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development.
  • Works independently and requires high level of judgment and discretion.
  • Might work on projects impacting the business unit requiring collaboration with other key areas or serve on enterprise projects around network management.
  • Might collaborate with sales team in making presentations to employer groups.
  • Serves as a communication link between professional providers and the company.
  • Ensures that network composition includes an appropriate distribution of provider specialties.
  • Conducts more complex negotiations and drafts documents.
  • Prepares financial projections and conducts analysis.

Requirements

  • Requires a BA/BS degree and a minimum of 5 years' experience in contracting, provider relations, provider servicing; experience should include prior contracting experience; or any combination of education and experience, which would provide an equivalent background.
  • Preferred: Strong understanding of Post-Acute Care network development including Durable Medical Equipment.

Qualifications

  • BA/BS degree.
  • Minimum of 5 years' experience in contracting, provider relations, provider servicing.

Skills

  • Strong understanding of Post-Acute Care network development including Durable Medical Equipment.

Benefits

  • Comprehensive benefits package.
  • Incentive and recognition programs.
  • Equity stock purchase.
  • 401(k) contribution.

Pay

The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

Schedule

This 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. Alternate locations may be considered if candidates reside within a commuting distance from an office.

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