Provider Network Manager Sr

$98,900 - $148,350/Yr

Elevance Health - Los Angeles, CA

Full-time - Mid Level

Los Angeles, CA

11-50 employees

Insurance Carriers and Related Activities

About the position

The Provider Network Manager Sr at Elevance Health is responsible for developing and managing the provider network through contract negotiations and relationship development. This role focuses on complex providers, requiring high-level negotiation skills and the ability to work independently. The position involves mentoring other contracting staff, collaborating on projects, and ensuring a balanced network composition of provider specialties.

Responsibilities

• Develops the provider network through contract negotiations and relationship development.
• Serves as a key resource for other contracting staff, providing mentoring and on-the-job training.
• Works independently, exercising high levels of judgment and discretion.
• Collaborates with other key areas on projects impacting the business unit.
• Acts as a communication link between professional providers and the company.
• Conducts complex negotiations and drafts necessary documents.
• Prepares financial projections and conducts analysis.

Requirements

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

Nice-to-haves

• Experience in fee schedule development using actuarial models.
• Experience contracting for SNF, Home Health, Hospice, or Private Duty.

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution
• Paid holidays
• Paid Time Off
• Medical, dental, and vision benefits
• Short and long-term disability benefits
• Life insurance
• Wellness programs
• Financial education resources