Provider Contract / Cost of Care Consultant

At Elevance Health, we are dedicated to revolutionizing the healthcare industry by providing innovative solutions and services. As a Provider Contract/Cost of Care Consultant, you will play a crucial role in our mission by ensuring that our provider contracts and cost of care strategies are optimized for success. We are looking for a dynamic and highly motivated individual who is passionate about driving positive change in the healthcare landscape. If you have a strong background in provider contracting and cost analysis, and are ready to take on new challenges, we invite you to join our team and make a meaningful impact on the future of healthcare.

1. Develop and manage provider contracts that align with the company's cost of care strategies.
2. Conduct in-depth analysis of provider contracts to identify areas for improvement and cost savings.
3. Collaborate with internal teams to develop and implement innovative cost of care strategies.
4. Negotiate and maintain contracts with healthcare providers to ensure competitive rates and quality of care.
5. Monitor and evaluate provider performance to identify opportunities for improvement.
6. Stay up-to-date on industry trends and changes in healthcare regulations to inform contract and cost of care strategies.
7. Develop and maintain strong relationships with healthcare providers to facilitate successful contract negotiations.
8. Communicate contract and cost of care strategies to internal teams and stakeholders.
9. Analyze and report on the financial impact of provider contracts and cost of care strategies.
10. Work with cross-functional teams to identify and implement process improvements related to provider contracts and cost of care.
11. Collaborate with legal and compliance teams to ensure contracts comply with all relevant laws and regulations.
12. Train and educate internal teams on provider contracting and cost of care best practices.
13. Represent the company in external meetings and negotiations with healthcare providers.
14. Provide recommendations to senior management on ways to optimize provider contracts and cost of care strategies.
15. Continuously evaluate and improve provider contract and cost of care processes to increase efficiency and effectiveness.

According to JobzMall, the average salary range for a Provider Contract / Cost of Care Consultant in Atlanta, GA, USA is $70,000 - $90,000 per year. However, this can vary depending on the specific company, industry, and level of experience of the individual.

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.