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　　Provider Network Manager (US)

　　Job Family: Digital and Technology

　　Type: Full time

　　Date Posted:Jan 23, 2024

　　Anticipated End Date:Jan 31, 2024

　　Reference: JR102074

　　Location:

　　GA, ATLANTA

　　Tennessee, Nashville

　　Florida, Miami

　　Florida, Tampa

　　GA, MIDLAND

　　North Carolina, Winston

　　KY, LOUISVILLE

　　North Carolina, Cary

　　Description

　　Location: This is a hybrid role requiring working in the office 1-2 days per week. Preferred candidates will reside within 50 miles to one of the following Elevance Health offices: Atlanta, GA, Midland, GA, Nashville, TN, Louisville, KY, Tampa, FL, Miami, FL, Cary, NC, Winston-Salem, NC.

　　Travel : Up to 10%

　　​

　　The Provider Network Manager develops the provider network through contract negotiations (language and rates), relationship development, and servicing. Primary focus of this role is 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 the 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.

　　Minimum Requirements:

　　Requires a BA/BS degree and a minimum of 3 years’ experience in contracting, provider relations, provider servicing; or any combination of education and experience, which would provide an equivalent background.Preferred Skills, Capabilities, and Experiences:

　　Experience in fee schedule development using actuarial models strongly preferred.

　　Experience using financial models and analysis to negotiate rates with providers strongly preferred.

　　Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

　　Who We Are

　　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 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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

　　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. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

　　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 [email protected] for assistance.

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　　Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.

　　EEO Policy Statement

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　　Elevance Health, Inc. is anE-verify Employer (https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf)

　　Need Assistance?

　　Email us ([email protected])