Provider Network Management Director

3 weeks ago

Kansas City, United States Elevance Health Full time

Anticipated End Date:

2024-06-21

Position Title:

Provider Network Management Director

Job Description:

Location:  Topeka KS, Kansas City KS

Hours: M – F Standard Working Hours

Travel: Hybrid (1-2 days onsite per week) In state travel to clients as needed


Position Overview:

Develops the provider network through contract negotiations, relationship development, and servicing for large health systems and affiliated physician groups including employed and hospital based and hospital owned ancillary providers. Primary focus of this role is contracting and negotiating contract terms. Deals with only the most complex health systems, affiliated providers and drives and support value base initiatives.

How You Will Make an Impact:

  • Serves in a leadership capacity, leading associate resources, special projects/initiatives, or network planning

  • Serves as a subject matter expert for local contracting efforts or in highly specialized components of the contracting process and serves as subject matter expert for that area for a business unit

  • Typically serves as lead contractor for large scale, multi-faceted negotiations

  • Serves as business unit representative on enterprise initiatives around network management and leads projects with significant impact

  • May assist management in network development planning

  • May provide work direction and establish priorities for field staff and may be involved in associate development and mentoring

  • Contracts involve non-standard arrangements that require a high level of negotiation skills

  • Fee schedules are customized

  • 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 providers and the company

  • Conducts the most complex negotiations

  • Prepares financial projections and conducts analysis

Required Qualifications:

  • Requires a BA/BS degree and a minimum of 8 years’ experience in contracting (value based, shared savings and ACO development), provider relations, provider servicing; experience must include prior contracting experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications:

  • Experience using financial models and analysis to negotiate rates with providers strongly preferred

  • Travels to worksite and other locations as necessary

Job Level:

Director Equivalent

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 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 1-hour 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/member-facing roles to become vaccinated against COVID-19. 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 elevancehealthjobssupport@elevancehealth.com for assistance.

  • Provider Network Management Director

    7 days ago

    Kansas City, Kansas, United States Elevance Health Full time

    Anticipated End Date: Position Title: Provider Network Management Director Job Description: Location: Topeka KS, Kansas City KS Hours: M – F Standard Working Hours Travel: Hybrid (1-2 days onsite per week) In state travel to clients as needed Position Overview: Develops the provider network through contract negotiations, relationship development, and...

  • Network Medical Director

    7 days ago

    Kansas City, Kansas, United States UnitedHealth Group Full time

    For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.In support of the Midwest Region Risk Bearing Entity (RBE) mission, vision, and strategic goals to achieve the quadruple aim by...

  • Network Medical Director

    7 days ago

    Kansas City, Kansas, United States Optum Full time

    Job DescriptionFor those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. In support of the Midwest Region Risk Bearing Entity (RBE) mission, vision, and strategic goals to achieve the...

  • Network Manager

    7 days ago

    Kansas City, Kansas, United States University of Kansas Medical Center Full time

    This job was posted by : For more information, please see: rr Network Manager - Network InfrastructurerrDepartment:IT Network Engineering & Convergence EITATelecommunications and NetworkingPosition Title:Network Manager - Network InfrastructureJob Family Group:Professional StaffJob Description Summary:Under the direction of the Director of Enterprise IT...

  • Provider Network Manager Sr

    1 month ago

    Kansas City, United States Elevance Health Full time

    Location: Topeka KS, Kansas City KS Hours: M – F Standard Working Hours Travel: Hybrid (1-2 days onsite per week) In state travel to clients as needed 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...

  • Provider Network Manager Sr

    3 weeks ago

    Kansas City, United States Elevance Health Full time

    Anticipated End Date: 2024-06-21 Position Title: Provider Network Manager Sr Job Description: Location:  Topeka KS, Kansas City KS Hours: M – F Standard Working Hours Travel: Hybrid (1-2 days onsite per week) In state travel to clients as needed Position Overview: Develops the provider network through contract negotiations, relationship development, and...

  • Provider Network Manager Sr

    3 weeks ago

    Kansas City, United States Elevance Health Full time

    Anticipated End Date: 2024-06-21 Position Title: Provider Network Manager Sr Job Description: Location:  Topeka KS, Kansas City KS Hours: M – F Standard Working Hours Travel: Hybrid (1-2 days onsite per week) In state travel to clients as needed Position Overview: Develops the provider network through contract negotiations, relationship development, and...

  • Manager of Network and Infrastructure

    1 month ago

    Kansas City, United States ParkHill School District Full time

    Purpose Statement The job of Manager - Network and Infrastructure is done for the purpose/s of serving as a leader in the Department of Technology managing the District's technology infrastructure, including but not limited to the data center (computer and storage), systems administration, e-mail and messaging, voice/data, cybersecurity, cabling systems,...

  • Manager of Network and Infrastructure

    3 weeks ago

    Kansas City, United States ParkHill School District Full time

    Purpose Statement The job of Manager - Network and Infrastructure is done for the purpose/s of serving as a leader in the Department of Technology managing the District's technology infrastructure, including but not limited to the data center (computer and storage), systems administration, e-mail and messaging, voice/data, cybersecurity, cabling systems,...

  • Network Medical Director

    2 weeks ago

    Kansas City, United States UnitedHealth Group Full time

    For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.In support of the Midwest Region Risk Bearing Entity (RBE) mission, vision, and strategic goals to achieve the quadruple aim by...

  • Network Medical Director

    3 weeks ago

    Kansas City, United States Optum Full time

    For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. In support of the Midwest Region Risk Bearing Entity (RBE) mission, vision, and strategic goals to achieve the quadruple aim...

  • Network Medical Director

    2 weeks ago

    Kansas City, United States Optum Full time

    For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. In support of the Midwest Region Risk Bearing Entity (RBE) mission, vision, and strategic goals to achieve the quadruple aim...

  • Network Medical Director

    3 weeks ago

    Kansas City, United States Optum Full time

    Job DescriptionFor those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.  In support of the Midwest Region Risk Bearing Entity (RBE) mission, vision, and strategic goals to...

  • Network Medical Director

    3 weeks ago

    Kansas City, United States Optum Full time

    For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. In support of the Midwest Region Risk Bearing Entity (RBE) mission, vision, and strategic goals to achieve the quadruple aim by...

  • Network Medical Director

    3 weeks ago

    Kansas City, KS, United States Optum Full time

    For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. In support of the Midwest Region Risk Bearing Entity (RBE) mission, vision, and strategic goals to achieve the quadruple aim by...

  • Director, Network Engineering

    2 months ago

    Oklahoma City, United States ViziRecruiter Full time

    Introduction Babson College is a world-class business school, empowering entrepreneurial leaders to create great economic & social value. It's an exciting launch pad for anyone who wants to make a real impact in higher education. We provide everything you need to achieve your goals, including learning opportunities, outstanding benefits, rich rewards,...

  • Director, Network Engineering

    3 weeks ago

    Oklahoma City, United States ViziRecruiter Full time

    Introduction Babson College is a world-class business school, empowering entrepreneurial leaders to create great economic & social value. It's an exciting launch pad for anyone who wants to make a real impact in higher education. We provide everything you need to achieve your goals, including learning opportunities, outstanding benefits, rich rewards,...

  • Provider Relationship Account Director

    2 weeks ago

    Kansas City, United States Elevance Health Full time

    Job Description : Location: Topeka KS, Kansas City KS Hours: M – F Standard Working Hours Travel: Hybrid (1-2 days onsite per week) In state travel to clients as needed Position Overview: Responsible for developing and maintaining positive provider relationships with a portfolio of providers within a defined provider relationship...

  • Network Medical Director

    2 weeks ago

    Kansas City, United States UnitedHealth Group Full time

    For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. In support of the Medical Director, Director, Network, Travel, Medical, City, Healthcare

  • Director of Operations

    1 month ago

    Kansas City, United States Miller Management Systems Full time

    Miller Management is hiring a full-time (40 hours) Director of Operations to service our ever-growing non-profit client base. The Director of Operations is responsible for leading and managing the day-to-day work of the Client Services, Payroll, and Courier Departments; and the Front Desk. Emphasis will be placed on client work ensuring efficiency, accuracy,...