Provider Network Manager Sr

Anticipated End Date:

2026-03-30

Position Title:

Provider Network Manager Sr

Job Description:

JR183772 Provider Network Manager Sr

The Provider Network Manager Sr develops the provider network through contract negotiations, relationship development, and servicing.

Location: Hybrid 1: This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.
 

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

How will you make an impact:

• 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.

Minimum requirements:

• 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 Skills, Capabilities, and Experiences:

• Strong provider and facility contracting experience is critical for success in this role, including complex negotiations, rate development, reimbursement modeling, and contract execution within highly regulated environments.

• Texas Medicaid managed care experience highly preferred, including familiarity with HHSC requirements, waiver programs, and state-specific compliance standards.

• Experience contracting with behavioral health providers strongly preferred.

• Extensive Managed Care Organization (MCO) and/or Texas health plan experience, including understanding of network adequacy, value-based arrangements, performance metrics, and quality standards.

• Ability to collaborate cross-functionally with clinical, operations, compliance, and sales teams to support network growth and market strategy.

Job Level:

Non-Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

PND > Network Contracting

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.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance H