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Elevance Health · 14 hours ago

Provider Network Manager Sr

Atlanta, GA

Full-time

Hybrid

Senior Level

5+ years exp

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. The Provider Network Manager Sr develops the provider network through contract negotiations, relationship development, and servicing, focusing on complex providers and customized fee schedules.

Health CareHealth InsurancePersonal HealthWellness

H1B Sponsor Likely

Responsibilities

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

Qualification

Contract NegotiationProvider RelationsCommercial Health PlanData AnalysisFee Schedule DevelopmentJudgmentDiscretionMentoringCollaborationFast-paced Environment

Required

Requires a BA/BS degree and a minimum of 5 years' experience in contracting, provider relations, provider servicing; experience should include prior contracting experience; or any combination of education and experience, which would provide an equivalent background

Preferred

Commercial Health plan experience strongly preferred

Experience negotiating capitated agreements

Experience negotiating large, complex health systems with various provider types such as ancillary, facility, physician

Experience in fee schedule development using actuarial models strongly preferred

Experience working in a fast-paced environment with critical deadlines

Data Analysis experience preferred

Travels to worksite and other locations as necessary

Benefits

Merit increases

Paid holidays

Paid Time Off

Incentive bonus programs

Medical

Dental

Vision

Short and long term disability benefits

401(k) +match

Stock purchase plan

Life insurance

Wellness programs

Financial education resources

Company

Elevance Health

Glassdoor3.6

Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.

Founded in 1944

Indianapolis, Indiana, USA

10001+ employees

https://www.elevancehealth.com

H1B Sponsorship

Elevance Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (375)

2024 (606)

2023 (660)

2022 (222)