Elevance Health

Health

ProviderNetworkMgmtDir

Cincinnati, Ohio, United States; Mason, Ohio, United States FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Director candidates.

The Brief

“Provider Network Mgmt Dir at Elevance Health. Skills: Contracting, Negotiations, Provider network management. Develop provider network. Contract negotiations”

Industry & Context.

Health
Problems you'll solve

High level of judgment and discretion

Eligibility Requirements

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

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