Provider Network Negotiations Lead (Hybrid, CA)

Elevance Health; Las Vegas (NV); Hybrid; USD 71,000 - 116,000; Full time

Benefits offered by this job

401(k) match

Stock purchase plan

Job summary

Elevance Health is seeking a Provider Network Manager to grow and negotiate our provider network across California and Nevada, combining in-office and remote work. The role emphasizes contract language, rates, and relationship development.

You will negotiate fee-for-service terms, coordinate with cross-functional teams, and support complex provider contracts while traveling as needed. A BA/BS and 3+ years in contracting are required.

Qualifications

• BA/BS degree and 3+ years contracting/provider relations experience.
• Experience negotiating provider contracts and rates.
• Strong relationship management skills and cross-functional collaboration.

Responsibilities

• Develop the provider network through contract negotiations (language and rates), relationship development, and servicing.
• Maintain a primary focus on contracting and negotiating contract terms.
• Manage assigned California PPO provider territories, including fee-for-service rate negotiations, provider contracting strategy, relationship management, and ongoing network needs.
• Lead resolution of complex provider contracting and reimbursement issues in partnership with cross-functional teams.
• Negotiate contracts including non-standard arrangements with moderate negotiation skills.
• Travel to worksite and other locations as necessary.
• Serve as a communication link between professional providers and the company.
• Assist in preparing financial projections and conducting analysis as required.

Skills

Contract negotiations

Provider relations

Vendor management

Cross-functional collaboration

Education

BA/BS degree

Job description

Elevance Health is seeking a Provider Network Manager to grow and negotiate our provider network across California and Nevada, combining in-office and remote work. The role emphasizes contract language, rates, and relationship development.

You will negotiate fee-for-service terms, coordinate with cross-functional teams, and support complex provider contracts while traveling as needed. A BA/BS and 3+ years in contracting are required.