Hybrid Senior Provider Network Manager

Posted 2 weeks ago

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About the role

  • Provider Network Manager Sr at Elevance Health, focusing on developing provider networks through complex negotiations and relationship management. Collaborating across teams to enhance network efficiency.

Responsibilities

  • Develops the provider network through contract negotiations, relationship development, and servicing.
  • Primary focus of this role is contracting and negotiating contract terms.
  • Works with the most complex providers.
  • 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.
  • May work on projects impacting the business unit requiring collaboration with other key areas or serve on enterprise projects around network management.
  • May collaborate with sales team in making presentations to employer groups.
  • Serves as a communication link between professional providers and the company.
  • Conducts more complex negotiations and drafts documents.
  • Prepares financial projections and conduct 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.
  • Commercial Health plan experience strongly preferred
  • Experience negotiating capitated agreements
  • Experience negotiating large, complex health systems with various provider types such as ancillary, facility, physician
  • Experience in fee schedule development using actuarial models strongly preferred
  • Experience working in a fast-paced environment with critical deadlines
  • Data Analysis experience preferred

Benefits

  • merit increases
  • paid holidays
  • Paid Time Off
  • incentive bonus programs
  • medical
  • dental
  • vision
  • short and long term disability benefits
  • 401(k) +match
  • stock purchase plan
  • life insurance
  • wellness programs
  • financial education resources

Job title

Senior Provider Network Manager

Job type

Experience level

Senior

Salary

Not specified

Degree requirement

Bachelor's Degree

Location requirements

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