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Provider Network Manager (Nevada Medicaid Behavioral Health)

$66.05k - $103.57k

Elevance Health

Provider Network Manager Primary Location: 9133 W. Russell Rd, Las Vegas, NV Schedule: Candidates in alternate locations that can work hours aligned to 8 AM - 5 PM PST will be considered. Hybrid: This role requires associates to be in‑office 1-2 days per week, fostering collaboration and connectivity while providing flexibility to support productivity and work‑life balance. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. About the Role The Provider Network Manager develops the provider network through contract negotiations (language and rates), relationship development, and servicing. How You Will Make An Impact Primary focus of this role is contracting and negotiating contract terms. Typically works with less‑complex to complex providers. Providers may include, but are not limited to, smaller institutional providers, professional providers with more complex contracts, medical groups, physician groups, small hospitals not part of a health system, ancillary providers, and providers in areas with increased competition or where greater provider education around managed care concepts is required. Contracts may involve non‑standard arrangements that require a moderate level of negotiation skills. Value‑based concepts understanding. Fee schedules can be customized. Works with increased independence and requires increased use of judgment and discretion. May work on cross‑functional projects requiring collaboration with other key areas. Serves as a communication link between professional providers and the company. Conducts more complex negotiations and drafts documents. Assists in preparing financial projections and conducting analysis as required. Minimum Requirements Requires a BA/BS degree and a minimum of 3 years’ experience in contracting, provider relations, provider servicing; or any combination of education and experience, which would provide an equivalent background. Travels to worksite and other locations as necessary. Preferred Skills/Experience/Education Experience with Nevada Medicaid behavioral health strongly preferred. In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non‑discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. Salary Range: $66,048 - $103,572. Location(s): Las Vegas, Nevada. EEO Statement Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, and local laws. Applicants who require accommodation to participate in the job application process may contact View email address on click.appcast.io for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. #J-18808-Ljbffr

Vacancy posted 1 day ago
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