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Provider Network Manager
Elevance Health Hialeah, FL
$96k-117k (estimate)
Full Time Just Posted
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Elevance Health is Hiring a Provider Network Manager Near Hialeah, FL

Location : Must reside in Florida and will support providers in the northern part of the state. Specifically, Bay, Calhoun, Franklin, Liberty, Gulf and Jackson counties. Develops the provider network through contract negotiations (language and rates), relationship development, and servicing. PRIMARY DUTIES: 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 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 Experience: Proficiency in Microsoft applications especially Microsoft Excel and OneNote. Prior experience with Medicaid, Medicare, and/or Managed Care Organizations. Prior experience in servicing providers, customers, or clients. Prior experience in hosting meetings and presenting information to internal and external parties. Organization and Time Management Skills. Prior experience in contracting or negotiations. Possess strong communication, problem solving and analytical skills. Travel to provider office as necessary. #J-18808-Ljbffr

Job Summary

JOB TYPE

Full Time

SALARY

$96k-117k (estimate)

POST DATE

06/04/2024

EXPIRATION DATE

07/01/2024

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The job skills required for Provider Network Manager include Managed Care, Negotiating, Collaboration, Contract Negotiation, Analysis, Relationship Development, etc. Having related job skills and expertise will give you an advantage when applying to be a Provider Network Manager. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Provider Network Manager. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Provider Network Manager positions, which can be used as a reference in future career path planning. As a Provider Network Manager, it can be promoted into senior positions as a Provider Network Director that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Provider Network Manager. You can explore the career advancement for a Provider Network Manager below and select your interested title to get hiring information.

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