Provider Economics Manager — Value-Based Contracts

Elevance Health; Atlanta (GA); Hybrid; USD 120,000 - 180,000; Full time

Job summary

Elevance Health seeks a Manager Provider Economics to lead a team focused on Value Base Contracts. You will support pre-negotiation modeling, reconciliation questions, and analytics for value-based programs, partnering to develop and enhance programmatic financial modeling.

The role emphasizes cost-control strategies, negotiation support, and strong leadership to drive performance and program success within a hybrid work model.

Qualifications

• BA/BS in Business or related field is required.
• 3+ years of experience in analytical, managed care payor or provider environment.
• Equivalent combination of education and experience may be considered.

Responsibilities

• Preforms 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.

Skills

Statistical analysis

Communication

Leadership

Education

BA/BS in Business or related field

CPA or MBA preferred

Job description

Elevance Health seeks a Manager Provider Economics to lead a team focused on Value Base Contracts. You will support pre-negotiation modeling, reconciliation questions, and analytics for value-based programs, partnering to develop and enhance programmatic financial modeling.

The role emphasizes cost-control strategies, negotiation support, and strong leadership to drive performance and program success within a hybrid work model.