Elevance Health Manager Provider Network Management in Wallingford, Connecticut
Manager Provider Network Management
Job Family: Digital and Technology
Type: Full time
Date Posted:Jul 27, 2022
Req #: JR9014
New York, New York
New York, Latham
New Jersey, New Jersey
Location: Hybrid opportunity, within a commutable distance to an Elevance Health office. New York location preferred.
Manages provider network contracting associates within a defined health service area for the New York market. Responsible for end to end execution of hospital and large physician agreements including contracting, relationship management, payment innovation and community enrichment.
How you will make an Impact;
Effectively manages the analysts and contractors to meet or exceed the health care target costs on a per unit basis.
Accountable for some of the largest New York systems in the market.
Must understand budget spends by hospital and by Primary and Specialty care practices and manage these contracts within budget constraints.
Responsible for contracting models, provider reimbursement, and risk modeling.
Hires, trains, coaches, counsels, mentors and evaluates performance of direct reports.
Requires a BA/BS degree in a related field and a minimum of 5 years equivalent work experience in provider contracting; or any combination of education and experience, which would provide an equivalent background.
Preferred skills, capabilities and experience;
Facility or physician engagement
Medicare and Medicaid reimbursement methodologies
Value-based contracting experience
May require up to 20% travel
Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Be part of an Extraordinary Team
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.
We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
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.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealthinc.com. 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 email@example.com for assistance.
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