Manager Provider Network Management

Elevance Health • Black River Falls, WI

70d

About The Position

The Manager Provider Network Management manages provider network contracting associates within a defined health service area. This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.

Requirements

• Requires a BA/BS degree in a related field and a minimum of 5 years equivalent work experience in provider contracting; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

• Strongly preferred a minimum of 8 years provider data and project management experience.

Responsibilities

• Effectively manages the analysts and contractors to meet or exceed the health care target costs on a per unit basis.
• Must understand budget spends by hospital and by Primary and Specialty care practices and manage these contracts within budget constraints.
• Responsible for contracting models, provider reimbursement, and risk modeling.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Benefits

• Merit increases
• Paid holidays
• Paid Time Off
• Incentive bonus programs
• Medical benefits
• Dental benefits
• Vision benefits
• Short and long term disability benefits
• 401(k) + match
• Stock purchase plan
• Life insurance
• Wellness programs
• Financial education resources

What This Job Offers

• Career Level: Manager
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees