Senior Provider Network Negotiator

Elevance Health; Costa Mesa (CA); On-site; USD 101,000 - 157,000; Full time

Job summary

Elevance Health in California seeks a Senior Provider Network Manager to lead contract negotiations, develop the provider network, and handle complex, customized agreements. The role emphasizes high-level negotiation, strategic provider education, and collaboration with internal teams to optimize network composition.

The position requires a BA/BS degree with at least five years of contracting experience. Hybrid work and in-person collaboration across locations are expected.

Qualifications

• Requires a BA/BS degree and a minimum of 5 years’ experience in contracting, provider relations, provider servicing; experience should include prior contracting experience; or any combination of education and experience, which would provide an equivalent background.
• Experience should include prior contracting experience.
• Contracts involve non-standard arrangements that require a high level of negotiation skills.
• Fee schedules are customized.

Responsibilities

• Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development.
• 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 professional providers and the company.
• Ensure that network composition includes an appropriate distribution of provider specialties.
• Conducts more complex negotiations and drafts documents.
• Prepare financial projections and conduct analysis.

Skills

Contract negotiations

Provider relations

Contracting experience

Financial analysis

Education

BA/BS degree

Job description

Elevance Health in California seeks a Senior Provider Network Manager to lead contract negotiations, develop the provider network, and handle complex, customized agreements. The role emphasizes high-level negotiation, strategic provider education, and collaboration with internal teams to optimize network composition.

The position requires a BA/BS degree with at least five years of contracting experience. Hybrid work and in-person collaboration across locations are expected.