Senior Provider Network Manager
Elevance Health
full-time
Posted on:
Location Type: Hybrid
Location: Atlanta • Florida, North Carolina, Virginia • 🇺🇸 United States
Visit company websiteJob Level
Senior
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
contract negotiationsprovider relationsprovider servicingfinancial projectionsdata analysiscapitated agreementsfee schedule developmentactuarial models
Soft skills
relationship developmentmentoringindependent workjudgmentdiscretioncollaborationcommunication
Certifications
BA/BS degree