Elevance Health
Health
ProviderNetworkMgmtDir
Neural analysis suggests this role is
optimal for Director candidates.
“Provider Network Mgmt Dir at Elevance Health. Skills: Contracting, Negotiations, Provider network management. Develop provider network. Contract negotiations”
Industry & Context.
High level of judgment and discretion
Travels to worksite and other locations as necessary, In-office 3 days per week, Candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law, Require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza
What They're Looking For.
Must Have
BAS degree, 8 years’ experience in contracting (value based, shared savings and ACO development), provider relations, prior contracting
Nice to Have
Experience using financial models and analysis to negotiate rates with providers
What You'll Do.
Develop provider network
Contract negotiations
Relationship development
Servicing for health systems
Lead associate resources
Lead special projects/initiatives
Lead network planning
Serve as subject matter expert
Serve as lead contractor
Serve as business unit representative
Lead projects with significant impact
Assist management in network development planning
Provide work direction
Establish priorities for field staff
Involved in associate development
Involved in mentoring
Work on projects impacting business unit
Serve on enterprise projects
Collaborate with sales team
Make presentations to employer groups
Serve as communication link
Conduct complex negotiations
Prepare financial projections
How You'll Work.
Team & Collaboration
Collaboration and connectivity; Collaboration with other key areas; Collaboration with sales team
Communication Scope
Communication link between providers and company
Process & Methodology
Lead special projects/initiatives, Lead projects with significant impact
Full Job Description
**Anticipated End Date:** 2026-05-31 **Position Title:** Provider Network Mgmt Dir **Job Description:** **Provider Network Management Director** **Location** : Cincinnati, OH & Mason, OH This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The **Provider Network Management Director** will be responsible for developing the provider network through contract negotiations, relationship development, and servicing for large health systems and affiliated physician groups including employed and hospital based and hospital owned ancillary providers. Primary focus of this role is contracting and negotiating contract terms. Deals with only the most complex health systems, affiliated providers and drives and support value base initiatives. **How you will make an impact:** * Serves in a leadership capacity, leading associate resources, special projects/initiatives, or network planning. * Serves as a subject matter expert for local contracting efforts or in highly specialized components of the contracting process and serves as subject matter expert for that area for a business unit. * Typically serves as lead contractor for large scale, multi-faceted negotiations. * Serves as business unit representative on enterprise initiatives around network management and leads projects with significant impact. * May assist management in network development planning. * May provide work direction and establish
Applying for this Provider Network Mgmt Dir role?
Most applicants get filtered before a human reads their resume. See if yours makes the cut.
How to Apply on Workday
- Workday has a multi-step form — save your progress after every section.
- "Apply With LinkedIn" can fail or lose data; manual entry is more reliable.
- Watch for the "Submit for Review" final step — hitting "Save" alone does not submit.
- Job requisition numbers are useful when following up with HR by email.
ANONYMOUS · UNFILTERED
What do employees actually say about Elevance Health?
Real rants from real employees. Read before you apply.