83 Jobs in United States
Elevance Health is Hiring a Provider Network Manager Sr (US) Near Wallingford, CT
Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
Develops the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the most complex providers. Complex providers may include, but are not limited to large institutional providers, large medical groups and ancillary providers, value based concepts understanding and support, providers in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard arrangements that require a high level of negotiation skills. Fee schedules are customized.Primary Duties
- Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development.
- 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 professional providers and the company.
- Ensure that network composition includes an appropriate distribution of provider specialties.
- Conducts more complex negotiations and drafts documents.
- Prepare financial projections and conduct analysis.
Preferred Skills, Capabilities And Experience
- Experience in fee schedule development using actuarial models strongly preferred.
- Travels to worksite and other locations as necessary.
- Hospital contracting negotiation experience.
Job Summary
Full Time
$108k-131k (estimate)
06/02/2024
06/24/2024
The job skills required for Provider Network Manager Sr (US) include Managed Care, Negotiating, Collaboration, Contract Negotiation, Relationship Development, Commitment, etc. Having related job skills and expertise will give you an advantage when applying to be a Provider Network Manager Sr (US). 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 Sr (US). Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Provider Network Manager Sr (US) positions, which can be used as a reference in future career path planning. As a Provider Network Manager Sr (US), 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 Sr (US). You can explore the career advancement for a Provider Network Manager Sr (US) below and select your interested title to get hiring information.
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