What are the responsibilities and job description for the Provider Network Manager, Contracting position at Elevance Health?
LTSS Provider Network Manager, Contracting
Location : Kansas, Candidates must reside in the state of Kansas. Ideal candidates will live within 50 miles of an Elevance Health PulsePoint office location.
The LTSS Provider Network Manager, Contracting develops the provider network through contract negotiations (language and rates), relationship development, and servicing.
Primary focus of this role is contracting and negotiating contract terms. Typically works with less-complex to complex providers. Providers will be long term services and supports focused and may include, but are not limited to, Home and Community Based Service waiver providers, skilled nursing providers, case management agencies, smaller institutional providers, or ancillary providers.
How you will make an impact :
Contracts may involve non-standard arrangements that require a moderate level of negotiation skills.
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 experience :
Data analysis experience is preferred.
Previous LTSS experience is very strongly preferred.
Understanding of value based concepts and fee schedules is strongly preferred.
Experience with LTSS provider contracting and credentialing is a huge plus.
You must have very strong verbal and written communication skills.
Previous Medicaid or LTSS claims experience is helpful.
Strong attention to detail is very important in this role.
Travels to worksite and other locations as necessary.
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.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient / member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
