Elevance Health
Director Network Management-South Carolina
Elevance Health, Greenville, South Carolina, us, 29610
The
Director Network Management
is responsible for network development, provider engagement and management, and oversight of value-based payment innovation programs for the South Carolina market.
Location:
This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of our Columbia, SC office.
How you will make an impact:
Develops and implements network contracting and network expansion strategies, to include identifying and cultivating strategic alliances and building new network models with significant provider organizations.
Provides strategic design and implementation of high-performance networks to include facility and provider performance incentives.
Oversees contracting and maintenance of all facilities including hospitals, surgery centers, etc.
Oversees the development, maintenance and reconciliation of physician risk contracts and capitated arrangements.
Assists staff, as needed, during contract negotiations with high-volume provider groups or facilities.
Develops innovative ways to maintain a cost-effective network with adequate access and positive working relationships with providers.
Attracts, develops, and manages key contracting and servicing staff.
Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Minimum Requirements:
Requires a BS/BA degree in business administration or related healthcare field and a minimum of 8 years healthcare operations, finance, underwriting, actuary, network development and sales experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
Strongly preferred CPA or MBA degree.
Strong experience in contract negotiation, network development and provider relations.
Value-Based program experience strongly preferred.
Proven leadership experience with the ability to coach, develop and engage strong teams.
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Director Network Management
is responsible for network development, provider engagement and management, and oversight of value-based payment innovation programs for the South Carolina market.
Location:
This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of our Columbia, SC office.
How you will make an impact:
Develops and implements network contracting and network expansion strategies, to include identifying and cultivating strategic alliances and building new network models with significant provider organizations.
Provides strategic design and implementation of high-performance networks to include facility and provider performance incentives.
Oversees contracting and maintenance of all facilities including hospitals, surgery centers, etc.
Oversees the development, maintenance and reconciliation of physician risk contracts and capitated arrangements.
Assists staff, as needed, during contract negotiations with high-volume provider groups or facilities.
Develops innovative ways to maintain a cost-effective network with adequate access and positive working relationships with providers.
Attracts, develops, and manages key contracting and servicing staff.
Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Minimum Requirements:
Requires a BS/BA degree in business administration or related healthcare field and a minimum of 8 years healthcare operations, finance, underwriting, actuary, network development and sales experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
Strongly preferred CPA or MBA degree.
Strong experience in contract negotiation, network development and provider relations.
Value-Based program experience strongly preferred.
Proven leadership experience with the ability to coach, develop and engage strong teams.
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