Manger Provider Economics

Elevance Health; Indianapolis (IN); Hybrid; USD 120,000 - 180,000; Full time

Benefits offered by this job

Health benefits

401(k) + match

Stock purchase plan

Paid time off

Job summary

Elevance Health is seeking a Manager Provider Economics to lead a team focused on value-based contracts and to support pre-negotiation modeling and performance analytics. The role partners with Payment Innovation to enhance programs and provide analytic input for negotiations and cost-savings initiatives.

The ideal candidate will have a BA/BS in Business, 3+ years in analytics within managed care or provider settings, and strong communication skills to present findings to stakeholders.

Qualifications

• BA/BS degree in Business or related field.
• 3+ years in analytics within managed care or provider settings.

Responsibilities

• Perform complex modeling and analytics to support negotiations.
• Communicate findings to internal and external stakeholders.
• Prepare negotiation prep analyses to guide strategy.
• Evaluate cost impact of negotiation proposals.
• Provide analytic support during provider negotiations.
• Lead and develop direct reports (hiring, training, coaching, evaluation).

Skills

Complex modeling

Advanced analytics

Communication of findings

Negotiation prep analysis

Cost impact analysis

Provider negotiations support

Claims experience analysis

People management

Education

BA/BS in Business or related field

Job description

Manager Provider Economics

Location: This role requires associates to be in-office 3 - 4 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. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Manager Provider Economics is responsible for leading a team focused on Elevance Health's Value Base Contracts. As the core functions of the role, this position will support pre-negotiation modeling, reconciliation questions, performance deep dive analytics and other program support for primary care based value programs; partner with Payment Innovation to develop and enhance programs including but not limited to financial modeling of programmatic changes.

How You Will Make An Impact

• Performs complex modeling and analytics exercises.
• Communicates analysis and findings both internally and externally.
• Prepares negotiation prep analysis to support development of negotiation strategy.
• Evaluates cost impact of negotiation proposals.
• Provides analytic support during complex provider negotiations.
• Analyzes claims experience to identify cost of care initiative opportunities.
• Provides day to day negotiation support for value-based programs.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Minimum Requirements

Requires a BA/BS degree in Business or related field; 3+ years experience in broad-based analytical, managed care payor or provider environment; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, And Experiences

Experience in statistical analysis strongly preferred. CPA or MBA preferred.

Who We Are

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.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

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.

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 and Influenza. 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. Applicants who require accommodation to participate in the job application process should submit the Accessibility Accommodation Request Form and a member of the team will be in contact.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.