Provider Network Manager (US)
Provider Network Manager (US)
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Job Description
Anticipated End Date:
Position Title:
Provider Network Manager (US)Job Description:
Be Part of an Extraordinary Team
A proud member of the Elevance Health family of companies Carelon Behavioral Health formerly Beacon Health Options offers superior clinical mental health and substance use disorder management a comprehensive employee assistance program work/life support specialty programs for autism and depression and insightful analytics.
Build the Possibilities. Make an Extraordinary Impact.
Title: Provider Network Manager
Location(s):
5959 Corporate Dr. Suite 1300 Houston TX
2505 N. Hwy 360 Grand Prairie TX
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.
Schedule: Monday- Friday 8am-5pm CST.
The Provider Network Manager is responsible for developing the provider network through contract negotiations (language and rates) relationship development and servicing.
How you will make an impact:
Contracting and negotiating contract terms.
Typically works with less-complex to complex providers.
Contracts may involve non-standard arrangements that require a moderate level of negotiation skills.
Value based concepts understanding.
Fee schedules can be customized.
Works with increased independence and requires increased use of judgment and discretion.
May work on cross-functional projects requiring collaboration with other key areas.
Serves as a communication link between professional providers and the company.
Conducts more complex negotiations and drafts documents.
Assists in preparing financial projections and conducting analysis as required.
Travels to worksite and other locations as necessary.
Minimum Requirements:
Requires a BA/BS degree and a minimum of 3 years experience in contracting provider relations provider servicing; or any combination of education and experience which would provide an equivalent background.
Job Level:
Non-Management 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 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 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.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 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
