Provider Network Manager-Medicaid Contracting jobs in United States
cer-icon
Apply on Employer Site
company-logo

Elevance Health · 10 hours ago

Provider Network Manager-Medicaid Contracting

Elevance Health is a health company dedicated to improving lives and communities, and they are seeking a Provider Network Manager to develop the provider network through contract negotiations and relationship development. The role involves working with a variety of providers, conducting negotiations, and serving as a communication link between providers and the company.

Health CareHealth InsurancePersonal HealthWellness
badNo H1Bnote

Responsibilities

Typically works with less-complex to complex providers
Providers may include, but are not limited to, smaller institutional providers, professional providers with more complex contracts, medical groups, physician groups, small hospitals that are not part of a health system, ancillary providers, providers in areas with increased competition or where greater provider education around managed care concepts is required
Contracts may involve non-standard arrangements that require a moderate level of negotiation skills
Value based concepts understanding
Fee schedules can be customized
Works with increased independence and requires increased use of judgment and discretion
May work on cross-functional projects requiring collaboration with other key areas
Serves as a communication link between professional providers and the company
Conducts more complex negotiations and drafts documents
Assists in preparing financial projections and conducting analysis as required

Qualification

Contract negotiationsProvider relationsFinancial projectionsValue-based conceptsCommunication skills

Required

BA/BS degree
Minimum of 3 years' experience in contracting, provider relations, provider servicing; or any combination of education and experience, which would provide an equivalent background
Must reside in Nevada
Candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law
This position is not eligible for employment based sponsorship
New candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza

Benefits

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

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

Funding

Current Stage
Public Company
Total Funding
unknown
2001-10-30IPO

Leadership Team

leader-logo
Gail K. Boudreaux
President and CEO
linkedin
leader-logo
Geeta Wilson
Chief Technology Officer (CTO): Digital Health and Service Experience Platforms
linkedin
Company data provided by crunchbase