Network Management Consultant

Elevance Health; United States; Hybrid; USD 37,112 - 70,863; Full time

Job summary

Elevance Health is seeking a contract project coordinator to support provider network management. The role involves coordinating projects, analyzing data, and facilitating engagement across stakeholders while ensuring policy guidance is followed.

The candidate should have a BA/BS and 3+ years in healthcare networks, with strong Excel and PowerPoint skills, plus excellent communication and time-management abilities. This is a remote, 4-month assignment with possible hybrid onsite expectations.

Qualifications

• BA/BS degree and at least 3 years in provider network mgmt, utilization mgmt, or similar health care field.
• Experience in project coordination or project management.
• Strong organizational and time management skills.
• Proficient with Excel, PowerPoint, Teams, and Smartsheet or MS Project.
• Excellent written and verbal communication; meeting facilitation and documentation.

Responsibilities

• Develops network recruitment and retention strategies for high-quality contracted providers.
• Leads negotiations and contracting efforts with complex provider organizations.
• Educates providers on innovative reimbursement programs and models.
• Conducts seminars to explain managed care and BCBS policies.
• Participates in network expansion to recruit new physician specialties or groups.
• Researches and resolves contract and reimbursement disputes and billing questions.

Skills

Project coordination

Time management

Communication skills

Data analysis

Stakeholder management

Multitasking

Education

BA/BS degree

Tools

Microsoft Excel

PowerPoint

Teams

Smartsheet

Microsoft Project

Job description

Remote

Contract (4 months 8 days)

Published 4 days ago

healthcare operations

organizational and time management skills

Project coordination or project management experience

Microsoft Excel, PowerPoint, Teams, and Smartsheet or Microsoft Project

Job ID: JP00046722

Anticipated Start Date: 08/24/2026

Please note this is the target date and is subject to change. BCForward will send official notice ahead of a confirmed start date.

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.

Provides provider relations/network management consulting support to complex, high profile provider organizations. Serves as technical resource and mentor to other consultants.

Primary duties may include, but are not limited to:

• Develops network recruitment and retention strategies to ensure the retention and maintenance of high quality contracted providers.
• Conducts negotiations and leads contracting efforts with complex, high profile provider organizations to build and maintain a cost effective, accessible provider network. Identifies, researches and analyzes economic and professional provider practice patterns to develop recommendations for improvements.
• Consults with, educates and trains providers on innovative alternative reimbursement programs.
• Conducts seminars to support the understanding of managed care and BCBS policies and procedures.
• Participates in network expansion efforts to recruit new physician specialties or large physician groups.
• Researches, analyzes and recommends resolution for contract and reimbursement disputes, non-routine claim issues, billing questions and other practices.

Requirements:

• Requires a BA/BS degree and a minimum of 3 years experience in provider network management, utilization management or other health care field; or any combination of education and experience, which would provide an equivalent background.
• Project coordination or project management experience
• Strong organizational and time management skills
• Ability to analyze project and operational data to support decision-making
• Experience identifying, scoping, and defining data requirements across multiple stakeholders
• Ability to manage multiple priorities and meet tight deadlines
• Proficiency with Microsoft Excel, PowerPoint, Teams, and Smartsheet or Microsoft Project
• Strong written and verbal communication skills
• Meeting facilitation and documentation (agendas, minutes, follow-up)
• Ability to work across multiple business areas and stakeholders
• Healthcare operations or managed care experience preferred

M-F 8am-5pm PST

Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, contractors 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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

BCForward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Pay Rate Range

Min Pay Rate $26.94

Max Pay Rate $51.44

Currency USD

Unit hourly

Additional Pay Rate Notes

The pay range is the range BCForward in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations.

Benefits Information

BCForward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. This does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).