EH
Elevance HealthSenior Portfolio Manager
Portfolio Manager Senior overseeing complex project portfolios, ensuring alignment with budget objectives and operational goals at Elevance Health.
About the role
- Manage complex contracting and negotiations for fees for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups)
- Build relationships that nurture partnerships and seek broader value-based business opportunities to support the local market strategy
- Initiate and maintain effective channels of communication with internal partners including but not limited to, billing and payment operations, Care Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service
- Manage strategic positioning for provider contracting, develops networks and identifies opportunities for greater value-orientation and risk arrangements
- Contribute to the development of alternative network initiatives; Supports and provides direction to develop network analytics required for the network solution
- Work to meet contracting targets (adequacy, accessibility, medical cost spend, etc.), while preserving an adequate network, to achieve and maintain Company's competitive position
- Prepare, analyze, review, and project financial impact of larger or complex provider contracts and assesses alternate contract terms
- Manage key provider relationships and is accountable for critical interface with providers and business staff
- Demonstrate knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape
- Strong understanding of and familiarity with payers and players in the healthcare landscape
- Leverage prior history and success leading and managing multiple contracts to deliver results
- Track current contract performance and process renegotiations and changes, amendments, and extensions to existing agreements
- Review and revise provider contracts as necessary to reflect updates in business strategy or organizational developments
- Represent company with high visibility providers and community groups
- Contribute to the exercise and expression of Christian Care Ministry’s Christian beliefs
- All other duties as assigned
Requirements
- 5-7 years’ Hospital contracting and negotiating experience involving complex delivery systems and organizations required
- Bachelor’s degree in Business, Healthcare Administration, Finance, or Economics required; equivalent combination of other education and job specific experience may be considered
- MBA or MHA preferred
Benefits
- 100% paid Medical for employees/99% for family
- Generous employer Health Savings Account (HSA) contributions
- Employer-paid Life Insurance (3x salary) and Long-term Disability Insurance
- 6 weeks of paid parental leave (for both mom and dad)
- Dental - two plans to choose from
- Vision
- Short-term Disability
- Accident, Critical Illness, Hospital Indemnity
- 401(k) – up to 4% match on ROTH or Traditional contributions
- Generous paid-time off and 11 paid holidays
- Wellness plan including Financial, Occupational, Mental/Spiritual, and Physical health incentives up to $50/mo
- Employee Assistance Program including no cost, in-person mental health visits and employee discounts
- Monetary Anniversary Awards Program
- Monetary Birthday Awards
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