Provider Network Manager

We are seeking an ambitious and driven individual to join our team at Elevance Health as a Provider Network Manager. As a leading healthcare organization, we are dedicated to providing top-quality care to our members through a comprehensive network of providers. In this role, you will be responsible for managing and optimizing our provider network to ensure the highest level of service for our members. The ideal candidate will have a strong background in healthcare network management, exceptional communication skills, and a passion for promoting accessibility and quality of care. If you thrive in a fast-paced, dynamic environment and have a desire to make a positive impact in the healthcare industry, we want to hear from you!

1. Develop and maintain relationships with healthcare providers to build a strong and comprehensive network.
2. Review and negotiate contracts with providers to ensure competitive rates and services.
3. Monitor provider performance and identify areas for improvement to maintain high-quality care for members.
4. Collaborate with internal teams to develop and implement provider network strategies that align with company goals.
5. Analyze data and trends to identify opportunities for network expansion and improvement.
6. Conduct regular audits to ensure compliance with regulatory and contractual requirements.
7. Serve as a liaison between providers and internal teams to resolve any issues or concerns.
8. Stay up-to-date on industry trends and changes in healthcare regulations to inform network decisions.
9. Develop and maintain documentation of network policies, procedures, and guidelines.
10. Communicate regularly with providers to ensure they are informed of any changes or updates.
11. Collaborate with marketing and sales teams to promote the provider network and attract new members.
12. Conduct trainings and presentations to educate providers on company policies and procedures.
13. Manage budget and expenses related to provider network activities.
14. Continuously seek out opportunities for cost savings and efficiency within the provider network.
15. Represent the company at industry events and conferences to expand the network and promote the company's mission and values.

According to JobzMall, the average salary range for a Provider Network Manager in Los Angeles, CA, USA is between $80,000 and $110,000 per year. This can vary based on factors such as the size and type of organization, level of experience, and specific job responsibilities. Additionally, factors such as bonuses, benefits, and location can also affect the overall salary range.

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.