Provider Network Management Director Sr




Location: This position will work a hybrid model (remote and office). Ideal candidates must live within 50 miles of a PulsePoint location.


The Provider Network Management Director Sr is responsible for guiding and overseeing the execution of large-scale, complex, multi-state negotiations with key provider groups and hospital systems across all lines of business in the region.



How you will make an impact:



• Leading complex contracting negotiations.
• Designing robust renewal strategies that transition from fee-based reimbursement to value-based care.
• Participating in strategic network discussions.
• Overseeing national Joint Operating Committees.
• Supporting local markets in fulfilling key deliverables.
• Serving as a regional mentor in contract negotiation and relationship management tactics.
• Shared savings/incentive payouts based on cost and quality performance and budget expenses.



Minimum Requirements:



Requires a BA/BS degree in a related field and a minimum of 10 years of leadership/management experience in healthcare management; or any combination of education and experience, that would provide an equivalent background.



Preferred Skills, Capabilities and Experiences:



• Previous P&L and/or project management experience in a healthcare setting, and excellent quantitative, marketing, financial, and strategic skills are strongly preferred.


Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

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.