Director Provider Collaboration

Overview

Anticipated End Date:

Position Title: Director Provider Collaboration

Job Description:

Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace

The Director Provider Collaboration is responsible for local management of Enhanced Personal Health Care (EPHC), payment innovation and collaborative programs across all lines of business.

• Provides provider support for successful value based arrangements; lead committee meetings.
• Drives medical and behavioral health integration initiatives.
• Function as company's SME in payment innovation and collaboration programs.
• Identifies payment innovation gaps and engages appropriate resources for solution.
• Analyzes financial performance quality metrics and reports to providers on the impact to performance.
• Guides providers to move into more mature payment programs.
• Conducts discussions with employer groups and health system executives.

• Requires a BA/BS degree and a minimum of 8 years’ experience in contracting (value based, shared savings and Accountable Care Organization (ACO) development), provider relations, provider servicing; experience must include prior contracting experience; prior experience with oversight and responsibility of regulatory requirements for line of business supported; or any combination of education and experience, which would provide an equivalent background.

• Experience using financial models and analysis to negotiate rates with providers strongly preferred.
• Fee for Service Contracting experience highly preferred

• Job Level: Director Equivalent
• Workshift:
• Job Family: PND >
  Value Based Solutions

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.

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.

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.

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 and Influenza. 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…