Anticipated End Date:2026-06-28
Position Title:Provider Network Manager
Job Description:JR193682 Provider Network ManagerThe Provider Network Manager develops the provider network through contract negotiations (language and rates), relationship development, and servicing.
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:- Provider contracting and negotiation experience.
- Provider network management experience.
- Behavioral health experience preferred.
- Knowledge of value-based care and Kansas market preferred.
- Data analysis and reporting experience.
- Medicaid, Medicare, or Commercial network and experience.
- Candidates must reside in Kansas and be within a reasonable commuting distance of an Elevance Health PulsePoint office.
Job Level:Non-Management Exempt
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.
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.
