Anticipated End Date:
2026-06-26

Position Title:
Director National Provider Strategy

Job Description:

Director National Provider Strategy

Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Director National Provider Strategy is responsible for directing enterprise strategic initiatives to ensure local and national networks (e.g. individual networks, national Blues networks) are competitive in regard to network access, discounts, and quality, in order to retain and grow membership. This role will lead with large BH providers offering services nationally.

How you will make an impact:

• Grows and retains business through competitive network access, discounts and quality.
• Leads initiatives to incorporate industry network developments to enhance network competitive standing.
• Accountable for internal and external presentations pertaining to national network strategic positioning with respect to cost, quality and access.
• Creates innovative solutions for growth segments, new markets and account specific needs.
• Leads strategic discussions internally and externally to define network best practices among health plans and implement consistent processes to improve network efficiencies.
• Directs the seamless delivery of network solutions services to clients, customers and members in collaboration with Local and Group Sales, Group Account Management, Health Care Management, Carelon, Individual Business Unit, Risk Adjustment, Quality, among others.
• Applies strategic and creative thinking to value-based contracts and alternative payment models.
• Manages complex internal and external relationships to drive alignment and execution.
• Resolves problems while coaching the team to think creatively and address operational challenges.
• Identifies root causes and implements proactive solutions to prevent recurrence.
• Engages internal and external stakeholders to build momentum and drive results.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Minimum Requirements:

Requires a BS/BA degree in health administration, business administration or related field and a minimum of 8 years of network, health care management experience or related payer experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• MHA or MBA degree strongly preferred.
• Strategic thinker with creative expertise in value-based contracts and alternative payment models preferred.
• Experience managing complex internal and external relationships preferred.
• Demonstrated ability to solve problems, foster creative thinking, and resolve operational challenges preferred.
• Ability to identify root causes and implement proactive solutions preferred.
• Engaging collaborator with the ability to influence stakeholders and drive results preferred.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $167,440 to $251,160.

Locations: Massachusetts

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. 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.

* The salary range is the range Elevance Health 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. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

Job Level:
Director

Workshift:
1st Shift (United States of America)

Job Family:
PND > Network Contracting

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.