Director, Provider Economics

Welcome to Elevance Health! We are a dynamic and innovative healthcare company dedicated to improving the quality and affordability of care for our members. As the Director of Provider Economics, you will play a critical role in our mission by developing and implementing strategies to optimize our provider network and drive financial performance. We are seeking a highly experienced and strategic leader who is passionate about transforming the healthcare landscape. If you have a strong background in provider contracting and a deep understanding of healthcare economics, we want to hear from you! Join our team and make a significant impact on the future of healthcare.

1. Develop and implement strategies to optimize provider network and drive financial performance.
2. Conduct thorough analysis of healthcare economics to inform decision-making.
3. Lead negotiations and manage relationships with providers to ensure cost-effective and high-quality care for members.
4. Evaluate and monitor provider contracts to ensure alignment with company goals and standards.
5. Stay up-to-date on industry trends and changes in healthcare regulations to inform business strategies.
6. Collaborate with cross-functional teams to develop and implement innovative solutions to improve the quality and affordability of care.
7. Develop and maintain strong relationships with key stakeholders, including providers, to support the company's mission.
8. Provide strategic guidance and recommendations to senior leadership on provider economics and network management.
9. Analyze and interpret data to identify opportunities for cost savings and revenue growth.
10. Oversee the development and implementation of new provider payment models.
11. Manage and mentor a team of provider economics professionals.
12. Ensure compliance with all applicable laws and regulations related to provider contracting and reimbursement.
13. Represent the company at industry conferences and events to promote our mission and network strategies.
14. Continuously monitor and evaluate the performance of the provider network and make adjustments as needed.
15. Collaborate with marketing and sales teams to promote the company's provider network to potential clients.

According to JobzMall, the average salary range for a Director, Provider Economics in Chicago, IL, USA is between $147,000 and $225,000 per year. The exact salary will vary depending on the individual's qualifications, experience, and the specific company they work for. Additional factors such as bonuses, benefits, and location may also affect the salary range. It is important to note that this is just an average and there may be individuals who earn lower or higher salaries in this position.

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.