Anticipated End Date:2026-06-21
Position Title:Provider Network Manager
Job Description:JR177058 Provider Network ManagerThe Provider Network Manager develops the provider network through contract negotiations (language and rates), relationship development, and servicing in Texas.
Location: Hybrid 1: This role requires associates to be in-office 1 day 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 accommodation is granted as required by law.
How will you make an impact:- Primary focus of this role is contracting and negotiating contract terms.
- Typically works with less-complex to complex providers.
- Providers may include, but are not limited to, smaller institutional providers, professional providers with more complex contracts, medical groups, physician groups, small hospitals that are not part of a health system, ancillary providers, providers in areas with increased competition or where greater provider education around managed care concepts is required.
- Contracts may involve non-standard arrangements that require a moderate level of negotiation skills.
- Value based concepts understanding.
- Fee schedules can be customized.
- Works with increased independence and requires increased use of judgment and discretion.
- May work on cross-functional projects requiring collaboration with other key areas.
- Serves as a communication link between professional providers and the company.
- Conducts more complex negotiations and drafts documents.
- Assists in preparing financial projections and conducting analysis as required.
Minimum requirements:- Requires a BA/BS degree and a minimum of 3 years' experience in contracting, provider relations, provider servicing; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:- Travels to worksite and other locations as necessary.
- Strong skills in researching and acquiring new providers for the network.
- Ability to identify and address network gaps effectively.
- Experience with contract and facility negotiations.
- Background in behavioral health (a plus).
- Data-driven approach with expertise in data research.
- Experience maintaining significant provider contact.
- Exceptional negotiation skills and experience in complex negotiations.
- Strong experience in generating and analyzing reports to support decision-making
- Candidates should reside within a commutable distance to one of our Pulse locations in Texas.
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.
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.
