Senior Provider Network Negotiator (Hybrid)

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

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase plan

401(k) contribution

Job summary

Elevance Health is seeking a Senior Provider Network Manager to lead complex contracting with providers across multiple locations, including CA. The role emphasizes contract terms, network development, and relationship management to optimize the provider network and service delivery.

The position requires a BA/BS with at least five years in contracting or related fields, including prior contracting experience.

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 in fee schedule development using actuarial models strongly preferred.
• Travels to worksite and other locations as necessary.

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

Mentoring/Training

Strategic thinking

Education

BA/BS degree

Job description

Elevance Health is seeking a Senior Provider Network Manager to lead complex contracting with providers across multiple locations, including CA. The role emphasizes contract terms, network development, and relationship management to optimize the provider network and service delivery.

The position requires a BA/BS with at least five years in contracting or related fields, including prior contracting experience.