Director Network Management

Elevance Health

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profile Job Location:

Saint Louis, MI - USA

profile Monthly Salary: Not Disclosed
Posted on: 4 hours ago
Vacancies: 1 Vacancy

Job Summary

Anticipated End Date:

Position Title:

Director Network Management

Job Description:

Location: St Louis MO

Hours: Standard Working hours

Travel: This role requires associates to be in-office 3 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. 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.


Position Overview:

Develops the provider network through contract negotiations relationship development and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the most complex providers. Complex providers may include but are not limited to large institutional providers large medical groups and ancillary providers value-based concepts understanding and support providers in areas with strong competition or where greater provider education around managed care concepts is required.

How You Will Make an Impact:

  • Oversees contracting and maintenance of all facilities including hospitals surgery centers etc
  • Attracts develops and manages key contracting and servicing staff
  • Develops innovative ways to maintain a cost effective network with adequate access and positive working relationships with providers
  • 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 and provides mentoring and on-the-job training and development

Required Qualifications:

  • 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 Qualifications:

  • Experience with Missouri Market strongly preferred
  • Experience with all lines of business preferred (Medicaid Medicare Commercial)
  • Advanced experience managing contracts with large hospital systems worth more than 200 million dollars preferred
  • Strongly preferred CPA or MBA degree
  • Previous management and associate development experience is a must
  • Experience with strategic data analysis to influence positive business outcomes strongly preferred

Job Level:

Director

Workshift:

1st Shift (United States of America)

Job Family:

PND > Provider Relationship Account Mgmt

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 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.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 Florida Agency for Health Care Administration.


Required Experience:

Director

Anticipated End Date:Position Title:Director Network ManagementJob Description:Location: St Louis MOHours: Standard Working hoursTravel: This role requires associates to be in-office 3 days per week fostering collaboration and connectivity while providing flexibility to support productivity and work...
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About Company

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Elevance Health, formerly Anthem, Inc., serves people across their entire health journey taking an integrated whole-health approach.

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