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Elevance Health

Provider Network Manager

Elevance Health, Waukesha, Wisconsin, United States, 53188

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Provider Network Manager Location:

WI-Waukesha, N17W24222 Riverwood Dr., Ste 300

Hybrid:

This role requires associates to be in‑office 1–2 days per week, fostering collaboration while allowing remote flexibility.

Role Summary:

The Provider Network Manager develops the provider network through contract negotiations (language and rates), relationship development, and servicing.

How You Will Make An Impact

Primary focus of this role is contracting and negotiating contract terms.

Typically works with less‑complex to complex providers.

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, and providers in highly competitive or education‑needing regions.

Contracts may involve non‑standard arrangements that require a moderate level of negotiation skills.

Understanding of value‑based concepts.

Fee schedules can be customized.

Works with increased independence and requires higher 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.

Minimum Requirements

Requires a BA/BS degree and a minimum of 3 years’ experience in contracting, provider relations, or provider servicing; or an equivalent combination of education and experience.

Travel to work sites and other locations as necessary.

Elevance Health only accepts resumes from agencies with a signed agreement. All unsolicited resumes are the property of Elevance Health.

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 elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

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