Provider Contract Manager

3 weeks ago


Topeka, Kansas, United States Elevance Health Full time
Job Title: Provider Contract Manager

We are seeking a highly skilled Provider Contract Manager to join our team at Elevance Health. As a key member of our organization, you will be responsible for managing negotiated pricing loads, coordinating complex pricing arrangements, and ensuring accurate and timely loading of professional and facility contracts.

Key Responsibilities:
  • Manage provider update files submitted by delegated provider entities and/or large groups/integrated delivery system.
  • Prepare information for timely and accurate submission to the Provider Data Management area.
  • Ensure updates/changes for existing network providers are interpreted and loaded accurately.
  • Work directly with contracting directors and managers to understand negotiated agreements and translate them into the company's systems.
  • Perform internal audits of provider records to ensure accuracy against rosters.
  • Serve as a local market expert supporting the provider onboarding process and provider updates submitted by provider offices within defined markets.
Requirements:
  • A high school diploma or equivalent and a minimum of 5 years of experience with provider contracts, plan procedures, and policies.
  • Critical thinking skills, a strong eye for detail, and a focus on quality.
About Elevance Health:

Elevance Health is a health company dedicated to improving lives and communities. 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.

We offer a range of market-competitive total rewards, including merit increases, paid holidays, Paid Time Off, and incentive bonus programs. Elevance Health operates in a Hybrid Workforce Strategy, requiring associates to work at an Elevance Health location at least once per week. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.



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