Senior Provider Network Manager
Elevance Health
full-time
Posted on:
Location Type: Hybrid
Location: Atlanta • Florida • North Carolina • United States
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Job Level
About the role
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
contract negotiationsprovider relationsprovider servicingfinancial projectionsdata analysiscapitated agreementsfee schedule developmentactuarial models
Soft Skills
relationship developmentmentoringindependent workjudgmentdiscretioncollaborationcommunication
Certifications
BA/BS degree