Provider Network Mgmt Dir

Job ID: JP00047022

Anticipated Start Date: November 19, 2026

Please note this is the target date and is subject to change. BCForward will send official notice ahead of a confirmed start date.

THIS POSITION IS WORKING STRICTLY ON PST

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.

Responsibilities:

Develops the provider network through contract negotiations, relationship development, and servicing for large health systems and affiliated physician groups including employed and hospital based and hospital owned ancillary providers. Primary focus of this role is contracting and negotiating contract terms. Deals with only the most complex health systems, affiliated providers and drives and support value base initiatives.

Primary duties may include, but are not limited to:

• 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.

• Typically serves as lead contractor for large scale, multi-faceted negotiations. Serves as business unit representative on enterprise initiatives around network management and leads projects with significant impact.

• May assist management in network development planning.

• May provide work direction and establish priorities for field staff and may be involved in associate development and mentoring.

• Contracts involve non-standard arrangements that require a high level of negotiation skills.

• Fee schedules are customized.

• 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 providers and the company.

• Conducts the most complex negotiations.

• Prepares financial projections and conducts analysis.

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; or any combination of education and experience, which would provide an equivalent background.

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

Additional Information:

• Statewide Medicare contracting for state required DSNP.

• Candidate must be within a reasonable distance of a Pulsepoint

Job Type:

• Contract

Hours:

• M - F (8a - 5p)

About BCForward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCForward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.