Provider Network Manager

Provider Network Manager

Develops the provider network through contract negotiations (language and rates), relationship development, and servicing.

How you will make an impact :

• Contracting and negotiating contract terms
• Typically works with less-complex to complex providers
• Providers may include, but are not limited to, smaller institutional providers, professional providers with more complex contracts, medical groups, physician groups, small hospitals that are not part of a health system, ancillary providers, providers in areas with increased competition or where greater provider education around managed care concepts is required
• Contracts may involve non-standard arrangements that require a moderate level of negotiation skills
• Value based concepts understanding
• Fee schedules can be customized
• Works with increased independence and requires increased use of judgment and discretion
• May work on cross-functional projects requiring collaboration with other key areas
• Serves as a communication link between professional providers and the company
• Conducts more complex negotiations and drafts documents
• Assists in preparing financial projections and conducting analysis as required

Required qualifications :

Preferred qualifications :

For candidates working in person or virtually in the below location(s), the salary

Location : Washington State

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). 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.

Job level : Non-Management Exempt

Workshift : 1st Shift (United States of America)

Job family : PND >

Network Contracting

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.