Provider Network Manager Sr.

Anticipated End Date:

2025-12-27

Position Title:

Provider Network Manager Sr.

Job Description:

Location: This role requires associates to be in-office 1 - 2 days 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. Alternate locations may be considered.

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 an accommodation is granted as required by law.

This position is not eligible for employment based sponsorship.

Develops the provider network through contract negotiations, relationship development, and servicing. Primary focus will be, but not limited to: contracting and negotiating Single Case Agreements. Typically works with the most complex providers. Complex providers may include, but are not limited to large institutional providers, large medical groups, value-based concepts, understanding and support. Contracts involve non-standard arrangements that require a high level of negotiation skills.

PRIMARY DUTIES:

• May work on projects impacting the business unit requiring collaboration with other key areas or serve on enterprise projects around network management.

• Serves as key resource for other contracting staff.

• 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.

• 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.

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 Experience:

• Intermediate Excel skills with the ability to analyze data.

• Transplant or cellular immunotherapy contracting experience.

• Commercial, Medicare, and / or Medicaid contracting experience.

• Strong negotiation skills, critical thinking, analytical skills, and knowledge of contract language.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $86,000 to $141,900

Locations: Columbus, OH; New York

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company.  The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

*The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Job Level:

Non-Management Exempt

Workshift:

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 subm