Provider Contract Specialist Manager

2 weeks ago


Overland Park, Kansas, United States Elevance Health Full time
Job Summary

As a Contract Manager for Healthcare Providers at Elevance Health, you will play a critical role in managing negotiated pricing loads and coordinating the process for complex pricing arrangements involving facilities or large health systems. This position requires expertise in creating standard contracts for providers as needed and ensuring accurate and timely loading of professional and facility contracts across value-based and fee-for-service agreements.

Key Responsibilities

• Manage provider update files submitted by delegated provider entities and/or large groups/integrated delivery systems.
• Prepare information for timely and accurate submission to the Provider Data Management area, ensuring 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, resulting in accurate and timely loading.

Requirements

a High School diploma or equivalent and a minimum of 5 years of experience with provider contracts, plan procedures, and policies; or any combination of education and experience, which would provide an equivalent background.

About Elevance Health

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.

What We Offer

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.

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