Provider Network Management Director
7 days ago
Job Summary:
The Provider Network Management Director is responsible for developing and implementing strategies for provider recruitment, contract negotiations, and relationship development for large health systems and affiliated physician groups. This role requires a strong understanding of healthcare regulations and a ability to work collaboratively with local contracting teams and lead contractors for large-scale negotiations.
Key Responsibilities:
- Develop and implement provider network strategies to meet state and federal regulatory requirements
- Manage contract negotiations with health systems and affiliated physician groups
- Build and maintain relationships with key stakeholders, including providers and health system leaders
- Collaborate with local contracting teams to drive deals with complex health systems and affiliated providers
- Partner with analytics teams to prepare financial projections and conduct analysis to support provider discussions
Requirements:
- BA/BS degree and a minimum of 8 years' experience in contracting, provider relations, or healthcare network development
- Experience using financial models and analysis to negotiate rates with providers
- Project management experience
- Health plan network development experience
- Ability to work independently with a high level of judgment and discretion
Preferred Skills:
- Experience working in a hybrid model (remote and office)
- Ability to travel up to 30%
What We Offer:
Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution. We are 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.
Location:
California, Colorado, District of Columbia, Maryland, Nevada, New York, Washington State
Salary Range:
$98,000 to $183,750
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