What are the responsibilities and job description for the Provider Network Manager Sr position at Elevance Health?
JR139582 Provider Network Manager Sr
The Provider Network Manager Sr. develops the provider network through contract negotiations, relationship development, and servicing. Typically works with the most complex providers. Complex providers may include, but are not limited to large institutional providers, large medical groups and ancillary providers, value-based concepts understanding and support, providers in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard arrangements that require a high level of negotiation skills. Fee schedules are customized.
Candidates should take the time to read all the elements of this job advert carefully Please make your application promptly.
How will you make an impact :
- 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.
Minimum requirements :
Preferred Skills, Capabilities, and Experiences :
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