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Elevance Health Provider Network Manager in W DES MOINES, Iowa

Location: Des Moines, Iowa

Hours: Standard M – F

Travel: Hybrid role (1-2 days per week in office)

Position Overview:

Develops the provider network through contract negotiations (language and rates), relationship development, and servicing.

How You Will Make an Impact:

  • 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

  • Conducts more complex negotiations and drafts documents

  • Assists in preparing financial projections and conducting analysis as required

Required Qualifications:

  • 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 Qualifications:

  • Medicaid or Medicare experience strongly preferred

  • Previous Healthcare Contract negotiation experience strongly preferred

  • Knowledge of Iowa Medicaid fee schedules preferred

  • Strong communications experience preferred