Hybrid Provider Network & Contracting Manager

Elevance Health; Los Angeles (CA); Hybrid; USD 71,000 - 116,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase and 401k

Job summary

Elevance Health in Los Angeles, CA is seeking a Provider Network Manager to develop and negotiate provider contracts, manage relationships, and service the network. The role focuses on California PPO networks, fee-for-service rate negotiations, contract terms, and cross-functional collaboration to resolve complex issues.

Occasional travel to work sites is required. The position supports a hybrid work model with in-office days and remote work, and emphasizes value-based contracting and provider

Qualifications

• Requires BA/BS degree and a minimum of 3 years’ experience in contracting, provider relations, or equivalent.
• Strong contract negotiation skills with focus on language and rates.
• Experience negotiating fee-for-service rates and managing provider contracts.

Responsibilities

• Develop the provider network through contract negotiations (language and rates), relationship development, and servicing.
• Maintain a primary focus on contracting and negotiating contract terms.
• Manage assigned California PPO provider territories, including fee-for-service rate negotiations, provider contracting strategy, relationship management, and ongoing network needs.
• Lead resolution of complex provider contracting and reimbursement issues in partnership with cross-functional teams, including rate and contract discrepancies, provider escalations, implementation issues, and remediation efforts impacting PPO providers.
• Travel to worksite and other locations as necessary.

Skills

Contract negotiation

Provider relations

Relationship management

Cross-functional collaboration

Analytical skills

Education

BA/BS degree

Job description

Elevance Health in Los Angeles, CA is seeking a Provider Network Manager to develop and negotiate provider contracts, manage relationships, and service the network. The role focuses on California PPO networks, fee-for-service rate negotiations, contract terms, and cross-functional collaboration to resolve complex issues.

Occasional travel to work sites is required. The position supports a hybrid work model with in-office days and remote work, and emphasizes value-based contracting and provider