Provider Network Strategy Director | Hybrid Work + Equity

Elevance Health; Los Angeles (CA); Hybrid; USD 119,000 - 186,000; Full time

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase

401k contribution

Stock purchase plan

Wellness programs

Job summary

Elevance Health in California is seeking a senior contracts leader focused on provider network contracting for large health systems. The role combines in-office collaboration three days per week with flexible, hybrid work and requires extensive negotiation of complex terms and fee schedules.

You will lead negotiations, develop relationships with providers, prepare financial projections, and work on enterprise network initiatives across commercial, Medicaid, and Medicare lines, with a salary

Qualifications

• Requires a BA/BS degree and a minimum of 8 years' experience in contracting (value based, shared savings and ACO development), provider relations, provider servicing; experience must include prior contracting experience; or any combination of education and experience, which would provide an equivalent background.

Responsibilities

• Serves in a leadership capacity, leading associate resources, special projects/initiatives, or network planning
• Serves as a subject matter expert for local contracting efforts or in highly specialized components of the contracting process and serves as subject matter expert for that area for a business unit
• Typically serves as lead contractor for large scale, multi-faceted negotiations
• Serves as business unit representative on enterprise initiatives around network management and leads projects with significant impact
• May assist management in network development planning
• May provide work direction and establish priorities for field staff and may be involved in associate development and mentoring
• Contracts involve non-standard arrangements that require a high level of negotiation skills
• Fee schedules are customized
• Works independently and requires high level of judgment and discretion
• May work on projects impacting the business unit requiring collaboration with other key areas or serve on enterprise projects around network management
• May collaborate with sales team in making presentations to employer groups
• Serves as a communication link between providers and the company
• Conducts the most complex negotiations
• Prepares financial projections and conducts analysis

Skills

Negotiation

Contracting

Leadership

Project management

Business development

Strategic thinking

Education

BA/BS degree

Tools

Excel

Financial modeling

PowerPoint

Job description

Elevance Health in California is seeking a senior contracts leader focused on provider network contracting for large health systems. The role combines in-office collaboration three days per week with flexible, hybrid work and requires extensive negotiation of complex terms and fee schedules.

You will lead negotiations, develop relationships with providers, prepare financial projections, and work on enterprise network initiatives across commercial, Medicaid, and Medicare lines, with a salary