Elevance Health
Provider Network Manager Sr. JR130330
Elevance Health, Topeka, Kansas, United States,
Location:
Primarily work from work, Must repost to the
KS-TOPEKA
Pulse Point once per week.Shift:
Monday-Friday, 8:00am-5:00pm CSTJob Summary:
Develops the provider network through contract negotiations, relationship development, and servicing. The primary focus of this role is contracting and negotiating contract terms, typically working with the most complex providers, including large institutional providers, large medical groups, and ancillary providers. Contracts involve non-standard arrangements that require a high level of negotiation skills. Fee schedules are customized.Primary duties may include, but are not limited to: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.Ensures that network composition includes an appropriate distribution of provider specialties.Conducts more complex negotiations and drafts documents.Prepares financial projections and conducts analysis.Travels to worksite and other locations as necessary.Requirements: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.Experience in fee schedule development using actuarial models strongly preferred.Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
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Primarily work from work, Must repost to the
KS-TOPEKA
Pulse Point once per week.Shift:
Monday-Friday, 8:00am-5:00pm CSTJob Summary:
Develops the provider network through contract negotiations, relationship development, and servicing. The primary focus of this role is contracting and negotiating contract terms, typically working with the most complex providers, including large institutional providers, large medical groups, and ancillary providers. Contracts involve non-standard arrangements that require a high level of negotiation skills. Fee schedules are customized.Primary duties may include, but are not limited to: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.Ensures that network composition includes an appropriate distribution of provider specialties.Conducts more complex negotiations and drafts documents.Prepares financial projections and conducts analysis.Travels to worksite and other locations as necessary.Requirements: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.Experience in fee schedule development using actuarial models strongly preferred.Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
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