Provider Network Manager Sr

Elevance Health • Louisville, KY

437d

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 and requires high-level negotiation skills to create customized fee schedules. The position involves mentoring other contracting staff, conducting complex negotiations, and ensuring appropriate provider specialty distribution within the network.

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.
• Strategic thinking and operational excellence.
• Experience working in a complex matrix environment and team collaboration.
• Understanding of enterprise all lines of business contracting and operations.

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, requiring high levels of judgment and discretion.
• Collaborates on projects impacting the business unit and serves on enterprise projects around network management.
• Acts as a communication link between professional providers and the company.
• Conducts complex negotiations and drafts necessary documents.
• Prepares financial projections and conducts analysis.

Benefits

• Merit increases
• Paid holidays
• Paid Time Off
• Incentive bonus programs
• Medical, dental, and vision benefits
• Short and long term disability benefits
• 401(k) with matching
• Stock purchase plan
• Life insurance
• Wellness programs
• Financial education resources

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree
• Number of Employees: 11-50 employees