Job Information
Elevance Health Provider Network Manager in Topeka, Kansas
Location: Olathe, KS
Hours: Standard Working Hours M - F
Travel: Hybrid (1-2 days onsite per week) as well as potential travel to provider sites as needed
Position Overview:
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.
How You Will Make an Impact:
Providers may include, but are not limited to, smaller institutional providers, professional providers with more complex contracts, medical groups, physician groups, small hospitals that are not part of a health system, ancillary providers, providers in areas with increased competition or where greater provider education around managed care concepts is required
Contracts may involve non-standard arrangements that require a moderate level of negotiation skills
Value based concepts understanding
Fee schedules can be customized
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
Required Qualifications:
- 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 Qualifications:
- Travels to worksite and other locations as necessary
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