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Provider Network Management Director

1 month ago

Nashville, Tennessee, United States Elevance Health Full time
Job Title: Provider Network Management Director

This is a leadership role that requires a strong understanding of healthcare provider networks and contract negotiation. The successful candidate will develop and implement strategies to build and maintain strong relationships with healthcare providers, negotiate contracts, and drive value-based initiatives.

Key Responsibilities:
  • Develop and implement provider network development strategies
  • Negotiate contracts with healthcare providers
  • Build and maintain strong relationships with healthcare providers
  • Drive value-based initiatives and improve network performance
  • Lead and manage a team of contract negotiation specialists
Requirements:
  • Bachelor's degree in a related field
  • Minimum 8 years of experience in contract negotiation, provider relations, or a related field
  • Strong understanding of healthcare provider networks and contract negotiation
  • Excellent communication and negotiation skills
  • Ability to lead and manage a team
Preferred Skills:
  • Experience using financial models and analysis to negotiate rates with providers
  • Provider network build with demonstrated success in implementing recruiting plans and network adequacy experience
  • Commercial line of business contracting experience along with Tennessee provider landscape knowledge

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 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.