Anticipated End Date:2026-09-30
Position Title:Manger Provider Economics
Job Description:Manager Provider EconomicsLocation: This role requires associates to be in-office 3 - 4 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
Manager Provider Economics manages the development of negotiation impact analysis in support of hospital negotiations and physician fee schedule development. Provides expert advice and analytic support to executive management on cost of care issues and opportunities at the HSA level.
How you will make an impact:- Prepares healthcare cost analysis to identify new, innovative strategies to control costs.
- Performs complex fee modeling exercises and hospital modeling exercises.
- Communicates fee strategies both internally and externally to manage provider expectations.
- Prepares negotiation prep analysis to support development of negotiation strategy. Evaluates cost impact of negotiation proposals.
- Provides analytic support during complex provider negotiations.
- Analyzes claims experience to identify cost of care initiative opportunities.
- Oversees maintenance of professional provider fee schedules.
- Provides day to day negotiation support for national ancillary providers (lab, dialysis, etc).
- Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Minimum Requirements:Requires a BA/BS degree in Business or related field; 3+ years experience in broad-based analytical, managed care payor or provider environment; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:Experience in statistical analysis strongly preferred. CPA or MBA preferred.
Job Level:Manager
Workshift:Job Family:RDA > Health Economics & Cost of Care
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.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words - the job is posted until 3/13, not through 3/13.
