Provider Network Manager Sr
| Company | Elevance Health |
|---|---|
| Location | Roanoke, VA, USA |
| Salary | $Not Provided – $Not Provided |
| Type | Full-Time |
| Degrees | Bachelor’s |
| Experience Level | Senior |
Requirements
- a BA/BS degree and a minimum of 5 years’ experience in contracting, provider relations, provider servicing; experience should include prior contracting experience; or any combination of education and experience, which would provide an equivalent background.
- Experience in fee schedule development using actuarial models strongly preferred.
- Travels to worksite and other locations as necessary.
Responsibilities
- Develops the provider network through contract negotiations, relationship development, and servicing.
- Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development.
- 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 professional providers and the company.
- Ensure that network composition includes an appropriate distribution of provider specialties.
- Conducts more complex negotiations and drafts documents.
- Prepare financial projections and conduct analysis.
Preferred Qualifications
- Experience in fee schedule development using actuarial models strongly preferred.