Provider Network Manager

This is an Individual Contributor role.

Location:

Hybrid 1 – This role requires associates to be in-office 1 – 2 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. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

A proud member of the Elevance Health family of companies,
Carelon Behavioral Health
, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.

Candidate Must Reside in the state of New Jersey.

Work Shift:

Monday – Friday, 40 hours a week

The Provider Network Manager develops the provider network through contract negotiations (language and rates), relationship development, and servicing.

• 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.
• Working with contracts that may involve non-standard arrangements that require a moderate level of negotiation skills.
• Conducts more complex negotiations and drafts documents.
• Assists in preparing financial projections and conducting analysis as needed.
• 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.
• Travels to worksite and other locations as necessary.

• Requires a BA/BS degree and a minimum of 3 years of experience in contracting, provider relations, provider servicing; or any combination of education and experience, which would provide an equivalent background.

• Proficiency using MS Excel, such as VLOOKUP.
• Experience with Power
  
  BI.

For candidates working in person or virtually in the below location(s), the salary range for this specific position is $75,624 to $113,436.

Location:

New Jersey.

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…