Anticipated End Date:2026-09-22
Position Title:Provider Contract Consultant
Job Description:Shift: Monday - Friday, 8:00am - 5:00pm PST
Location: Woodland Hills, CA, Alternate locations may be considered if candidates reside within a commuting distance from an office
Hybrid 1: This role requires associates to be in-office 1 - 2 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.
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
Provider Contract Consultant creates and manages contract templates used across the enterprise to ensure consistency and compliance with all legislative and regulatory requirements.
How you will make an impact: - Supports/assists Network Directors/Managers with CA ASC Network renewals and recruitment.
- Acts as a liaison between Network Directors/Managers internal supporting departments PE, HE, CCU, etc. and externally.
- Provides contract support, documentation assistance and review on all product lines (Commercial, Medicare, Medicaid).
- Supports COC initiatives and leads project work impacting business unit.
- Facilitates follow up with PE/PIR/ Special Projects Teams on provider issues
- Creates common contract templates for various provider groups to be used throughout the enterprise.
- Works closely with Legal and provider contracting management to ensure that contracts meet all federal, state and regulatory requirements.
- Recommends language changes and use of alternative or exception language approved for specific uses.
- Reviews contract language in response to RFPs, audits, and legal clarifications.
- Makes recommendations to contract modifications and presents to governing committee for approval.
- Works with contract negotiators to identify areas where push-back is appropriate and helps to educate contract negotiators on contract language impacts.
- Review contracts to ensure that contract terms and language can be implemented appropriately.
- Researches and quantifies impact to contract modifications.
- Maintains tracking software to assist in reporting and responding to key leadership, providers, and consumers.
- Develops tools to assist contract negotiators in negotiating effective contracts.
Minimum requirements: - Requires a BA/BS degree in a related field and a minimum of 3 years related experience with contract language, contract development, negotiation, and/or administration; or any combination of education and experience, which would provide an equivalent background.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $81,696.00 to $127,872.00Locations: CaliforniaIn 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:Non-Management Exempt
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.
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.
