Elevance Health
Provider Network Management Director
CA-WOODLAND HILLS, 21215 BURBANK BLVD, USA · Director · Contract
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About the role
- Serves in a leadership capacity, leading associate resources, special projects/initiatives, or network planning.
- Serves as a subject matter expert for local contracting efforts or in highly specialized components of the contracting process and serves as subject matter expert for that area for a business unit.
- May assist management in network development planning.
Responsibilities
- May collaborate with sales team in making presentations to employer groups.
Requirements
- Requires a BA/BS degree and a minimum of 8 years' experience in contracting (value based, shared savings and ACO development), provider relations, provider servicing
- experience must include prior contracting experience
Nice to have
- Preferred Skills, Capabilities and Experiences:
- Demonstrated experience leading high-impact provider negotiations preferred.
- Experience with provider fee schedule customization preferred.
Skills
- California provider contracting experience preferred.
- 5+ years experience supporting hospital systems preferred.
- Experience negotiating contracts with hospitals, health systems, large physician groups, or ancillary providers preferred.
- Experience working within managed care, health plan, or provider network environments preferred.
- Experience using financial models and analysis to negotiate rates with providers preferred.
- Contracts involve non-standard arrangements that require a high level of negotiation skills.
Compensation
- For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $118,588 to $185,616.
Benefits
- Knowledge of healthcare claims processing and reimbursement methodologies preferred.
- Deals with only the most complex health systems, affiliated providers and drives and support value base initiatives.
Company info
- Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
- How We Work
- At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
- We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
- Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler.
- We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
- At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.
- Our values and behaviors are the root of our culture.
- They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
- Elevance Health operates in a Hybrid Workforce Strategy.
- Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
- Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
- The health of our associates and communities is a top priority for Elevance Health.
- We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza.
Visa & Work Authorization
- ent 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 gend
This listing is sourced directly from Elevance Health's careers page and normalized into a canonical job model.