Provider Network Manager Sr - Value-Based Contracting
Provider Network Manager Sr - Value-Based Contracting
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Anticipated End Date:
Position Title:
Provider Network Manager Sr ValueBased ContractingJob Description:
Provider Network Manager Sr ValueBased Contracting (JR142923
Location: Candidates must reside within 50 miles and 1hour commute each way of one of the following Elevance Health PulsePoint locations:
Atlanta GA
Columbus/Midland GA
Elevance Health supports a hybrid workplace model (virtual and office) with PulsePoint sites used for collaboration community and connection with the minimum inoffice commitment for this role being 1 day in office per week.
The Provider Network Manager Sr. is responsible for local management of the value based Enhanced Personal Health Care (EPHC) payment innovation provider collaboration programs across the Commercial Medicaid and Medicare lines of business. Primary duties may include but are not limited to:
Provider recruitment and contracting to support successful valuebased arrangements to include downside risk financial terms.
Leads internal meetings with various business partners and external meetings with assigned providers.
Drives medical and behavioral health integration initiatives.
Functions as companys SME in payment innovation and cost and quality focused provider collaboration programs.
Identifies opportunities for improvement in cost and quality performance and engages appropriate resources to drive improved performance.
Analyzes financial and quality metric performance and reports to providers on a monthly or quarterly basis.
Guides providers to move into more mature payment programs assuming increasing levels of financial risk.
Engages in discussions with health system executives.
Minimum Requirements:
BA/BS degree and a minimum of 5 years experience in contracting provider relations provider servicing; experience must include prior contracting experience or any combination of education and experience which would provide an equivalent background.
Experience using financial models and analysis to negotiate rates with providers strongly preferred.
Preferred Qualifications:
Value based contracting experience with professional groups and Accountable Care Organizations (ACO) strongly preferred.
Knowledge of Medicare focused cost and quality performancebased programs strongly preferred.
Job Level:
NonManagement ExemptWorkshift:
1st Shift (United States of America)Job Family:
PND > Network ContractingPlease 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 marketcompetitive 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 Health location at least once per week and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/memberfacing roles to become vaccinated against COVID19 and Influenza. If you are not vaccinated your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age citizenship status color creed disability ethnicity genetic information gender (including gender identity and gender expression) marital status national origin race religion sex sexual orientation veteran status or any other status or condition protected by applicable federal state or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws including but not limited to the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Required Experience:
Manager
Employment Type
Full-Time
