Provider Contract Manager
3 weeks ago
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.
- 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.
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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Provider Contract Manager
3 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob Title: Provider Contract ManagerWe are seeking a highly skilled Provider Contract Manager to join our team at Elevance Health. As a key member of our contracting team, you will be responsible for managing complex pricing arrangements and ensuring accurate and timely loading of professional and facility contracts across value-based and fee-for-service...
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Contract Manager
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Contract Manager
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Provider Network Manager
2 weeks ago
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Provider Network Manager
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Contract Manager
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Provider Network Manager Senior
1 month ago
Topeka, Kansas, United States Elevance Health Full time{"title": "Provider Network Manager Sr", "description": "Job SummaryWe are seeking a highly skilled Provider Network Manager Sr to join our team at Elevance Health. This role will be responsible for developing and maintaining positive provider relationships, coordinating non-negotiated contracts, and resolving complex provider issues.Key...
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Provider Network Manager Senior
3 weeks ago
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Provider Network Manager Sr
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Provider Network Manager Sr
3 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryWe are seeking a highly skilled Provider Network Manager Sr to join our team at Elevance Health. As a key member of our network development team, you will be responsible for developing and maintaining our provider network through contract negotiations, relationship development, and servicing.Key ResponsibilitiesDevelop and implement strategies to...
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Provider Network Manager Sr
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Topeka, Kansas, United States Elevance Health Full timeJob SummaryAs a Provider Network Manager Sr at Elevance Health, you will play a critical role in developing and maintaining positive provider relationships with the provider community. This includes regular on-site visits, communicating administrative and programmatic changes, and facilitating education and the resolution of provider issues.Key...
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