Provider Contract Consultant

The Elevance Health Companies of California, Inc.; Los Angeles (CA); Hybrid; USD 82,000 - 128,000; Full time

Benefits offered by this job

Benefits package

Equity stock purchase

401(k) contribution

Job summary

Elevance Health is seeking a Provider Contract Consultant in Woodland Hills, CA, with hybrid in-office 1-2 days per week. The role creates and manages contract templates to ensure consistency and regulatory compliance across all lines (Commercial, Medicare, Medicaid).

You will support Network Directors/Managers with renewals, act as liaison between internal teams and external partners, and review contract language for federal, state and regulatory requirements.

Qualifications

• Requires BA/BS degree in a related field with at least 3 years of contract-related experience.
• Experience with contract language, development, negotiation, and administration preferred.

Responsibilities

• Create and manage contract templates across the enterprise to ensure consistency.
• Support CA ASC Network renewals and recruitment.
• Liaise between Network Directors/Managers and internal/external stakeholders.
• Provide contract support and review on all product lines (Commercial, Medicare, Medicaid).
• Ensure contracts meet federal, state and regulatory requirements.
• Develop tools to assist contract negotiators in negotiating effective contracts.

Skills

Contract negotiation

Contract administration

Regulatory awareness

Education

BA/BS degree in related field

Job description

Anticipated End Date: 2026-09-22

Position Title: Provider Contract Consultant

Shift: Monday - Friday, 8:00am - 5:00pm PST

Location: Woodland Hills, CA, Alternate locations may be considered if candidates reside within a commuting distance from an office

Hybrid 1: This role requires associates to be in-office 1 - 2 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. 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 Provider Contract Consultant creates and manages contract templates used across the enterprise to ensure consistency and compliance with all legislative and regulatory requirements.

How you will make an impact

• Supports/assists Network Directors/Managers with CA ASC Network renewals and recruitment.
• Acts as a liaison between Network Directors/Managers internal supporting departments PE, HE, CCU, etc. and externally.
• Provides contract support, documentation assistance and review on all product lines (Commercial, Medicare, Medicaid).
• Supports COC initiatives and leads project work impacting business unit.
• Facilitates follow up with PE/PIR/ Special Projects Teams on provider issues.
• Creates common contract templates for various provider groups to be used throughout the enterprise.
• Works closely with Legal and provider contracting management to ensure that contracts meet all federal, state and regulatory requirements.
• Recommends language changes and use of alternative or exception language approved for specific uses.
• Reviews contract language in response to RFPs, audits, and legal clarifications.
• Makes recommendations to contract modifications and presents to governing committee for approval.
• Works with contract negotiators to identify areas where push-back is appropriate and helps to educate contract negotiators on contract language impacts.
• Review contracts to ensure that contract terms and language can be implemented appropriately.
• Researches and quantifies impact to contract modifications.
• Maintains tracking software to assist in reporting and responding to key leadership, providers, and consumers.
• Develops tools to assist contract negotiators in negotiating effective contracts.

Minimum requirements: Requires a BA/BS degree in a related field and a minimum of 3 years related experience with contract language, contract development, negotiation, and/or administration; or any combination of education and experience, which would provide an equivalent background.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $81,696.00 to $127,872.00. Locations: California.

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. 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.

* The salary range is the range Elevance Health 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. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans.

The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Job Level: Non-Management Exempt

Workshift: 1st Shift (United States of America)

Job Family: PND > Network Contracting

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

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 following form: 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.

NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words - the job is posted until 3/13, not through 3/13.

Elevance Health is an Equal Opportunity Employer/Disability/Veterans.