Anticipated End Date:2026-10-31
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 is responsible for leading a team focused on Elevance Health's Value Base Contracts. As the core functions of the role, this position will support pre-negotiation modeling, reconciliation questions, performance deep dive analytics and other program support for primary care based value programs; partner with Payment Innovation to develop and enhance programs including but not limited to financial modeling of programmatic changes.
How you will make an impact: Prepares healthcare cost analysis to identify new, innovative strategies to control costs.
How you will make an impact:- Performs complex modeling and analytics exercises.
- Communicates analysis and findings both internally and externally.
- 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.
- Provides day to day negotiation support for value-based programs.
- 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.
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.
