Director Provider Collaboration

Elevance Health • Des Moines, IA

10d • Hybrid

About The Position

Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace The Director Provider Collaboration is responsible for local management of Enhanced Personal Health Care (EPHC), payment innovation and collaborative programs across all lines of business. How you'll make a difference: Provides provider support for successful value based arrangements; lead committee meetings. Drives medical and behavioral health integration initiatives. Function as company's SME in payment innovation and collaboration programs. Identifies payment innovation gaps and engages appropriate resources for solution. Analyzes financial performance quality metrics and reports to providers on the impact to performance. Guides providers to move into more mature payment programs. Conducts discussions with employer groups and health system executives.

Requirements

• Requires a BA/BS degree and a minimum of 8 years’ experience in contracting (value based, shared savings and Accountable Care Organization (ACO) development), provider relations, provider servicing; experience must include prior contracting experience; prior experience with oversight and responsibility of regulatory requirements for line of business supported; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

• Experience using financial models and analysis to negotiate rates with providers strongly preferred.
• Fee for Service Contracting experience highly preferred

Responsibilities

• Provides provider support for successful value based arrangements
• Lead committee meetings
• Drives medical and behavioral health integration initiatives
• Function as company's SME in payment innovation and collaboration programs
• Identifies payment innovation gaps and engages appropriate resources for solution
• Analyzes financial performance quality metrics and reports to providers on the impact to performance
• Guides providers to move into more mature payment programs
• Conducts discussions with employer groups and health system executives

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Director