Provider Network Manager

The Elevance Health Companies, Inc.; Los Angeles (CA); Hybrid; USD 78,000 - 121,000; Full time

Job summary

Elevance Health in California seeks a Provider Network Manager to develop the provider network through contract negotiations, relationship building, and servicing. The role centers on contracting terms and collaborating with cross-functional teams.

The candidate should have a BA/BS and at least 3 years in contracting or provider relations with California provider experience, and must be willing to travel as needed. Hybrid work arrangement applies.

Qualifications

• BA/BS degree required with minimum 3 years contracting/provider relations experience.
• Experience in contracting and provider servicing; ability to negotiate terms.
• Must be willing to travel and have California provider network experience.

Responsibilities

• Develop the provider network through contract negotiations (language and rates).
• Build relationships with providers and handle servicing.
• Negotiate contract terms, including varying fee schedules.
• Collaborate with cross-functional teams on projects and financial projections.

Skills

California provider experience

Actuarial models

Travel willingness

Education

BA/BS degree

Job description

Provider Network Manager

Anticipated End Date: 2026-10-03

Position Title: Provider Network Manager

Job Description: Provider Network Manager

Schedule

Must be able to work Pacific Standard Time hours.

Location

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.

Job Responsibilities

The Provider Network Manager is responsible for developing the provider network through contract negotiations (language and rates), relationship development, and servicing.

Primary focus of this role is contracting and negotiating contract terms.

Typically works with less-complex to complex providers.

How You Will Make an Impact

Providers may include, but are not limited to, smaller institutional providers, professional providers with more complex contracts, medical groups, physician groups, small hospitals that are not part of a health system, ancillary providers, providers in areas with increased competition or where greater provider education around managed care concepts is required.

Contracts may involve non-standard arrangements that require a moderate level of negotiation skills.

Value based concepts understanding.

Fee schedules can be customized.

Works with increased independence and requires increased use of judgment and discretion.

May work on cross-functional projects requiring collaboration with other key areas.

Serves as a communication link between professional providers and the company.

Conducts more complex negotiations and drafts documents.

Assists in preparing financial projections and conducting analysis as required.

Minimum Requirements

Requires a BA/BS degree and a minimum of 3 years’ experience in contracting, provider relations, provider servicing; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences

• Must have California provider experience.
• Experience in fee schedule development using actuarial models strongly preferred.
• Travels to worksite and other locations as necessary.

Salary

For candidates working in person or virtually in the below location, the salary* range for this specific position is $77,556 to $121,392.

Location: California.

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, paid time off, stock, 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

About the Company

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.

Equal Employment Opportunity Statement

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.

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

Additional Information

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.

Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

Our nearly 100,000 associates serve approximately 100M+ people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health.