Location: N17W24222 Riverwood Dr., Ste 300 Waukesha, WI
Elevance Health supports a hybrid workplace model (virtual and office) with PulsePoint sites used for collaboration, community, and connection, with the minimum in-office commitment being 1-3 days in an office per week.
Candidates must reside within 50 miles or 1-hour commute each way of the above Elevance Health location.
Develops the provider network through contract negotiations (language and rates), relationship development, and servicing.
PRIMARY DUTIES:
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, 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.
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.
Preferred Skills, Capabilities and Experience:
Excellent Microsoft, Excel, and PowerPoint skills.
Great communication and organization skills.
Ability to speak with providers and office staff.
Preferred knowledge of claims, health insurance industry payment methods.
Travels to worksite and other locations, as necessary.
