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Elevance HealthPosted 1 week ago

Provider Network Management Director-Colorado

$113,432–$170,148 year

HybridDenver, Colorado, United States

Full TimeSenior LevelBachelors DegreeEnterprise

Job Summary

Develop the provider network in Colorado through contract negotiations and relationship development with large health systems and affiliated physician groups. Lead complex, multi-faceted negotiations for non-standard arrangements while preparing financial projections and conducting analysis to drive value-based initiatives. Serve as a subject matter expert for local contracting efforts and act as a communication link between providers and the company, collaborating with sales teams on presentations to employer groups. Manage field staff priorities and assist in network development planning. This role requires a BA/BS degree with eight years of contracting experience and involves hybrid work, with three days per week in-office in Denver, CO.

Required Qualifications

  • BA/BS degree
  • minimum of 8 years' experience in contracting (value-based, shared savings, and ACO development)
  • provider relations
  • provider servicing
  • prior contracting experience
  • experience using financial models and analysis to negotiate rates with providers

Desired Qualifications

  • Experience using financial models and analysis to negotiate rates with providers strongly preferred

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