Provider Network Manager
Provider Network Manager Location:
This position will work a hybrid model (remote and office).
The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.
The Provider Network Manager assists in the development of the provider network through contract processing, relationship development, and servicing.
Primary focus of this role is Provider Enrollment (contracting and credentialing intake).
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, providers in areas with increased competition or where greater provider education around managed care concepts is required.
How you will make an impact:
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.
Minimum Requirements:
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.
Travels to worksite and other locations as necessary.
For candidates working in person or remotely in the below locations, the salary range for this specific position is $64,160 to $115,488.
Locations:
California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJ In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company.
The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting.
This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations.
No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans.
The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
#J-18808-Ljbffr Recommended Skills Credentialing Finance Managed Care Negotiation Self Motivation Contract Management Apply to this job.
Think you're the perfect candidate? Apply on company site Estimated Salary: $20 to $28 per hour based on qualifications.
This position will work a hybrid model (remote and office).
The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.
The Provider Network Manager assists in the development of the provider network through contract processing, relationship development, and servicing.
Primary focus of this role is Provider Enrollment (contracting and credentialing intake).
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, providers in areas with increased competition or where greater provider education around managed care concepts is required.
How you will make an impact:
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.
Minimum Requirements:
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.
Travels to worksite and other locations as necessary.
For candidates working in person or remotely in the below locations, the salary range for this specific position is $64,160 to $115,488.
Locations:
California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJ In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company.
The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting.
This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations.
No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans.
The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
#J-18808-Ljbffr Recommended Skills Credentialing Finance Managed Care Negotiation Self Motivation Contract Management Apply to this job.
Think you're the perfect candidate? Apply on company site Estimated Salary: $20 to $28 per hour based on qualifications.
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