Provider Network Manager - LTSS & Contracting

Welcome to Elevance Health, where we are committed to providing high-quality and accessible healthcare services to all individuals. We are currently seeking a skilled Provider Network Manager to oversee our Long-Term Services and Supports (LTSS) department and manage our contracting processes. As a key member of our team, you will play a crucial role in building and maintaining strong relationships with our network of providers, ensuring the delivery of exceptional care to our members. We are looking for a detail-oriented individual with a strong background in LTSS and contracting, who is also passionate about making a positive impact in the healthcare industry. If you are a driven and collaborative professional with a deep understanding of provider networks and the ability to drive results, we encourage you to apply for this exciting opportunity at Elevance Health.

1. Oversee the Long-Term Services and Supports (LTSS) department to ensure high-quality and accessible healthcare services are provided to members.
2. Manage the contracting process for LTSS providers, including negotiation, implementation, and maintenance of contracts.
3. Develop and maintain strong relationships with LTSS providers to ensure a robust network of quality care for members.
4. Collaborate with internal teams to identify and address any issues or concerns with LTSS providers, ensuring timely and effective resolution.
5. Monitor and analyze the performance of LTSS providers, including adherence to contract terms and quality standards, and make recommendations for improvement.
6. Stay current on industry trends and regulatory requirements related to LTSS and make recommendations for updates or changes to processes and procedures.
7. Serve as a liaison between Elevance Health and LTSS providers, ensuring open communication and effective collaboration.
8. Develop and implement strategies to expand the LTSS provider network, including identifying potential new partners and negotiating contracts.
9. Maintain accurate and up-to-date records of all LTSS provider contracts and related documents.
10. Train and mentor LTSS department staff on contracting processes, provider relationship management, and industry updates.
11. Represent Elevance Health at industry conferences and events to promote the organization and network with potential LTSS providers.
12. Collaborate with other departments, such as finance and operations, to ensure LTSS provider contracts align with organizational goals and objectives.
13. Adhere to all legal and regulatory requirements related to LTSS contracting and network management.
14. Provide regular reports and updates to senior management on LTSS network performance and any significant developments or challenges.
15. Strive to continuously improve processes and procedures related to LTSS provider network management to enhance efficiency and effectiveness.

According to JobzMall, the average salary range for a Provider Network Manager - LTSS & Contracting in Columbus, OH, USA is $70,000 - $90,000 per year. However, this can vary depending on the specific job responsibilities, level of experience, and company size. Some positions may offer lower or higher salaries within this range. It is important to research the specific job and company to get a more accurate salary estimate.

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.