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Elevance Health - Grand Prairie, TX

posted 2 months ago

Full-time - Mid Level
Grand Prairie, TX
11-50 employees
Insurance Carriers and Related Activities

About the position

The position focuses on developing the provider network through contract negotiations and relationship management, primarily dealing with complex providers. The role involves negotiating Single Case Agreements and requires a high level of judgment and discretion. The individual will work independently and serve as a key resource for other contracting staff, ensuring effective communication between professional providers and the company.

Responsibilities

  • Develop the provider network through contract negotiations and relationship development.
  • Negotiate Single Case Agreements with complex providers.
  • Serve as a key resource for other contracting staff.
  • Conduct complex negotiations and draft necessary documents.
  • Ensure appropriate distribution of provider specialties within the network.
  • Collaborate on projects impacting the business unit and network management.

Requirements

  • BA/BS degree required.
  • Minimum of 5 years' experience in contracting, provider relations, or provider servicing.
  • Prior contracting experience is essential.

Nice-to-haves

  • Intermediate Excel skills for data analysis.
  • Experience in transplant or cellular immunotherapy contracting.
  • Experience in commercial, Medicare, and/or Medicaid contracting.
  • Strong negotiation skills and critical thinking abilities.

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
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