Provider Contract Consultant

Elevance Health; Tampa (FL); Hybrid; USD 95,000 - 125,000; Full time

Benefits offered by this job

Merit increases

Paid holidays

Paid Time Off

Incentive bonus programs

Medical insurance

Dental insurance

Vision plan

Disability benefits

401(k) + match

Stock purchase plan

Life insurance

Wellness programs

Financial education

Job summary

Elevance Health in the United States is seeking a Provider Contract Consultant to create and manage contract templates across the enterprise, ensuring consistency and regulatory compliance.

You will collaborate with Legal and provider contracting teams to ensure contracts meet federal, state, and regulatory requirements, review language for RFPs, audits, and clarifications, and develop tools to assist negotiators in negotiating effective contracts.

Qualifications

• Requires a BA/BS degree and minimum 3 years related experience with contract language, development, negotiation and/or administration.

Responsibilities

• Creates common contract templates for provider groups across the enterprise.
• Works with Legal and contracting management to ensure compliance with federal, state and regulatory requirements.
• Recommends language changes and uses approved language for specific uses.
• Reviews contract language in response to RFPs, audits, and clarifications.
• Makes recommendations to contract modifications and presents to governing committee for approval.
• Educates negotiators on contract language impacts.
• Maintains tracking software for reporting to leadership, providers, and consumers.
• Develops tools to assist negotiators in negotiating effective contracts.

Skills

Contract language

Contract development

Negotiation

Administration

Education

BA/BS degree

Tools

Templates

Job description

Provider Contract Consultant

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. 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 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

• 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.

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.

• merit increases
• paid holidays
• Paid Time Off
• 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
• 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 (https://forms.cloud.microsoft/pages/responsepage.aspx?id=8giMvgesLESaRuvu61vU17EJaA0EP3FIissI8zmZ_NpUNUgyTFRUMkY5NE5JNDFWMkhaUzQxMkJLWS4u&route=shorturl) 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 (https://info.flclearinghouse.com/).