Provider Network Manager

Elevance Health; United States; Remote; USD 38,000 - 69,000; Full time

Benefits offered by this job

Comprehensive benefits package

Job summary

Elevance Health is seeking a contract-focused professional to negotiate and manage provider contracts. The role involves working with diverse providers, drafting agreements, and supporting cross-functional projects to ensure favorable terms and alignment with organizational goals.

The incumbent will build relationships, conduct negotiations, and assist with financial analyses and projections. This position offers a flexible work arrangement and a comprehensive benefits package.

Qualifications

• Requires a BA/BS degree and a minimum of 3 years in contracting, provider relations, or provider servicing.
• Strong negotiation and interpersonal skills are essential to succeed.

Responsibilities

• Contract and negotiate contract terms with providers, including smaller institutional providers and professional groups.
• Advise and support cross-functional teams on contract-related matters.
• Draft and review contract documents and terms.
• Provide financial projections and analyses as required for contract decisions.
• Serve as a communication link between providers and Elevance Health and BCForward.
• Collaborate on cross-functional projects requiring input from multiple stakeholders.

Skills

Contract negotiations

Provider relations

Education

BA/BS degree

Job description

Anticipated Start Date: November 19, 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.

Develops the provider network through contract negotiations (language and rates), relationship development, and servicing.

Primary duties may include, but are not limited to:

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

Typically works with less-complex to complex providers.

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.

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.

Job Type:

Work Hours: 8am-4:30p or 8:30a-5p or 9:00a-5:30p PST

Candidate can be located anywhere within reasonable distance of a PulsePoint.

About BCForward:

Founded in 1998 on the idea that industry leaders needed a professional service, a workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

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 $27.36

Max Pay Rate $50.44

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.).