Director Provider Economics
| Company | Elevance Health |
|---|---|
| Location | Canoga Park, Los Angeles, CA, USA |
| Salary | $163576 – $245364 |
| Type | Full-Time |
| Degrees | Bachelor’s |
| Experience Level | Senior |
Requirements
- Requires a BA/BS degree in Business or related field
- 5+ years experience in broad-based analytical, managed care payor or provider environment
- Any combination of education and experience, which would provide an equivalent background.
Responsibilities
- Prepares healthcare cost analysis to identify new, innovative strategies to control costs.
- Performs complex fee for service modeling exercises.
- Communicates reimbursement strategies both internally and externally to manage provider expectations.
- Prepares pre-negotiation analysis to support development of negotiation strategy.
- Evaluates cost impact of various negotiation proposals.
- Provides analytic support during complex provider negotiations.
- Provides day-to-day negotiation support for ancillary providers (lab, dialysis, etc).
- Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Preferred Qualifications
- Experience in statistical analysis is strongly preferred.
- MBA, FSA/ASA, MPH or CPA preferred.