Provider Network Manager Sr

We are looking for an experienced and mission-driven Provider Network Manager Sr to join our team at Elevance Health. As the Provider Network Manager Sr, you will be responsible for managing all aspects of provider relationships, ensuring that provider networks are maintained and meet all contractual requirements. The ideal candidate will have a combination of business acumen, relationship building expertise, and data analytics skills. You must also be organized, detail-oriented, and proactive in problem-solving. A deep understanding of the healthcare industry, including government regulations, is required.This is a great opportunity to be part of a dynamic team that is focused on transforming healthcare. If you have a passion for improving the lives of individuals and communities and are looking for a role where you can make a difference, we want to hear from you.

Responsibilities:

1. Develop and maintain relationships with providers to ensure contractual requirements are met.
2. Utilize data analytics to identify network trends and opportunities for improvement.
3. Monitor provider networks for compliance with government regulations and company policies.
4. Analyze provider performance for quality, cost, and efficiency.
5. Develop strategies and initiatives to optimize provider network performance.
6. Manage contracting for providers and vendors.
7. Collaborate with other departments to ensure that all contractual requirements are met.
8. Develop and implement communication plans to ensure providers are informed of changes and updates.
9. Identify and resolve any issues or discrepancies in provider networks.
10. Monitor and report on provider network performance metrics.

According to JobzMall, the average salary range for a Provider Network Manager Sr in Indianapolis, IN, USA is between $72,000 and $110,000 per year. This range can vary depending on the experience level and qualifications of the individual, as well as the size and scope of the employer.

Elevance Health, Inc. is an American health insurance provider. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California,Wellpoint, and Carelon.It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association. As of 2022, the company had 46.8 million members within their affiliated companies' health plans. Prior to June 2022, Elevance Health was named Anthem, Inc.