Anticipated End Date:
2026-05-31
Position Title:
Provider Network Manager
Job Description:
Provider Network Manager
Location: Arizona
Position Territory: Ideal candidates will be based in Arizona and willing to travel throughout the state.
This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.
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 Manager develops the provider network through contract negotiations (language and rates), relationship development, and servicing.
How you will 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.
Travels to worksite and other locations as necessary.
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.
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.
