Elevance Health

Provider Network Management Director

Elevance Health$108K — $185K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • BA/BS degree required.
  • Minimum 8 years in contracting, provider relations, or provider servicing.
  • Prior contracting experience is necessary.
  • 5+ years supporting hospital systems preferred, ideally managing $750 million in annual spend.
  • Experience with financial models for rate negotiations preferred.
  • Knowledge of enterprise support across Commercial, Medicaid, and Medicare lines preferred.
  • High-impact provider negotiation experience preferred.

Responsibilities

  • Lead associate resources and specialized projects/initiatives for network planning.
  • Act as a subject matter expert for contracting processes and local contracting efforts.
  • Serve as lead contractor in large-scale negotiations.
  • Represent business unit on enterprise initiatives related to network management.
  • Assist in network development planning and mentor field staff as needed.
  • Engage in complex negotiations involving non-standard arrangements and customized fee schedules.
  • Prepare financial projections and conduct relevant analysis.

Benefits

  • Comprehensive benefits package available.
  • Incentive and recognition programs offered.
  • Equity stock purchase options.
  • 401k contributions available.
  • Flexible work environment promoting work-life balance.
Full Job Description

Anticipated End Date:

2026-06-26

Position Title:

Provider Network Management Director

Job Description:

Provider Network Management Director

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 Provider Network Management Directoris responsible for developing the provider network through contract negotiations, relationship development, and servicing for large health systems and affiliated physician groups including employed and hospital based and hospital owned ancillary providers.

How will you make an impact:

  • Serves in a leadership capacity, leading associate resources, special projects/initiatives, or network planning.

  • Serves as a subject matter expert for local contracting efforts or in highly specialized components of the contracting process and serves as subject matter expert for that area for a business unit.

  • Typically serves as lead contractor for large scale, multi-faceted negotiations.

  • Serves as business unit representative on enterprise initiatives around network management and leads projects with significant impact.

  • May assist management in network development planning.

  • May provide work direction and establish priorities for field staff and may be involved in associate development and mentoring.

  • Contracts involve non-standard arrangements that require a high level of negotiation skills.

  • Fee schedules are customized. 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 providers and the company.

  • Conducts the most complex negotiations.

  • Prepares financial projections and conducts analysis.

Minimum Requirements:

  • Requires a BA/BS degree and a minimum of 8 years9 experience in contracting (value based, shared savings and ACO development), provider relations, provider servicing; experience must include prior contracting experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

  • 5+ years experience supporting hospital systems, representing annual spend exceeding $750 million strongly preferred.

  • Experience using financial models and analysis to negotiate rates with providers strongly preferred.

  • Extensive experience providing enterprise-wide support across all lines of business: Commercial, Medicaid, and Medicare strongly preferred.

  • High-impact provider negotiation experience is strongly preferred.

  • Travels to worksite and other locations as necessary.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $108,276.00-$185,616.00

Locations: California, Nevada, and Washington State

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 Company9s sole discretion, consistent with the law.

*If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties, principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.

Job Level:

Director Equivalent

Workshift:

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.


About Elevance Health

Epoch Health represents the next evolution in comprehensive healthcare specifically for men. Our philosophy is a clinical approach designed to help men enhance their quality of life through truly personalized and professional clinical care. At Epoch we stress appropriate health treatments, proactive screenings and lifestyle modifications.

Elevance Health Careers

Join the vibrant team at Elevance Health, a leader in healthcare solutions, where we prioritize innovation, leadership, and the well-being of our communities. At Elevance Health, we offer more than just job opportunities; we provide a pathway to a fulfilling career in a diverse and inclusive environment.

Work You’ll Do

At Elevance Health, you will be part of a team dedicated to reshaping the future of healthcare through outstanding service and cutting-edge technology. Our professionals enjoy a culture of collaboration and respect that supports both personal and professional growth.

Explore Career Opportunities

Whether you're seeking your first internship or a seasoned professional position, Elevance Health offers a range of employment opportunities across various specialties. Our team is growing, and we are hiring individuals who are passionate about making a difference in healthcare. Explore positions that match your skills and interests in our dynamic company.

Innovate and Lead

Join us and contribute to a culture of innovation and continuous improvement. At Elevance Health, you will work alongside industry leaders and have the chance to develop leadership skills that are crucial in today’s fast-paced healthcare environment. Our leadership and diversity training ensure that all team members are equipped to lead, inspire, and thrive.

Develop Your Career

Elevance Health is committed to the professional growth of our employees. With access to comprehensive benefits, career development programs, and networking opportunities, you can expand your skills and advance your career within a supportive and nurturing environment. Our commitment to professional development is reflected in our robust training programs and our focus on promoting from within.

Benefits and Culture

We understand that the well-being of our employees is paramount. Elevance Health offers competitive benefits designed to support the health, financial security, and work-life balance of our team members. Our inclusive culture fosters innovation and is one of our greatest strengths.

Join Our Team

Ready to make a significant impact in healthcare? Search for open job opportunities at Elevance Health that align with your skills and career ambitions. We are looking for curious, creative, and solution-driven team players who are ready to drive change and deliver solutions.

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Apply Now

Start your journey with Elevance Health by exploring our career portal for available job opportunities. Submit your resume, prepare for your interview, and take the first step towards a rewarding career that makes a real difference.

Elevance Health Careers

Empowering your future in healthcare. Join us and be part of a team that is dedicated to improving lives and communities every day.
Learn more about Elevance Health
Size
3,969 employees
Market Cap
$116.9 billion
Industry
Net Income
$4.5 billion
Founded
1944
5 Year Trend
+10.3%
Revenue
$121.8 billion
NASDAQ

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