Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Provider Network Manager Sr

Elevance Health

JR195968 Provider Network Manager Sr

The Provider Network Manager Sr develops the provider network through contract negotiations, relationship development, and servicing.

Location: Hybrid 1: This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.

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 accommodation is granted as required by law.

How will you make an impact:

  • Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development.

  • Works independently and requires high level of judgment and discretion.

  • May work on projects impacting the business unit requiring collaboration with other key areas or serve on enterprise projects around network management.

  • May collaborate with sales team in making presentations to employer groups.

  • Serves as a communication link between professional providers and the company.

  • Ensure that network composition includes an appropriate distribution of provider specialties.

  • Conducts more complex negotiations and drafts documents.

  • Prepare financial projections and conduct analysis.

Minimum requirements:

  • Requires a BA/BS degree and a minimum of 5 years' experience in contracting, provider relations, provider servicing; experience should include prior contracting experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

  • Candidates must reside in Pennsylvania, near West Chester, PA and be within a reasonable commuting distance of an Elevance Health PulsePoint office.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

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, or 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 ( .

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Provider Network Manager Sr in West Chester, PA vacancy
  •  ...concept through operations. The Role You\'re a hands-on engineering manager with a strong software background and growing experience as a...  ...RF communications and radar modeling features in STK Provide direct supervision, coaching, feedback, and employee support Manage... 
    Senior
    Worldwide

    Ansys, Inc.

    Exton, PA
    1 day ago
  • Sr. Payroll Project Coordinator and Analyst Contract Mindlance is a national recruiting...  .... Collaborate with the project team, provide project coordination, and drive project milestones...  ...(at least one required). Strong project management skills. Accountability and confidence in... 
    Senior
    Contract work

    Mindlance

    Exton, PA
    4 days ago
  • $54 per hour

     ...UAS Assessor - Sr Care Manager - RN Title: UAS Assessor Sr. Care Manager RN (English Speaking Only). Location: Brooklyn, NY 11201. Duration...  ...based on NY State requirements and guidelines and training provided by Client and/or outside resources. Enrollment paperwork... 
    Senior

    Careers Integrated Resources Inc

    West Chester, PA
    2 days ago
  •  ...The ideal candidate must have strong experience with Salesforce Health Cloud, Data Cloud, and extensive knowledge of the Healthcare Provider domain. Your responsibilities will involve designing Provider 360 solutions, developing Salesforce UI, and integrating with... 
    Suggested

    Saransh Inc

    Newtown Square, PA
    1 day ago
  •  ...craft to meet the current market needs. About the Job The Project Manager will be based in the state of Washington. This position serves...  ...by applicable federal, state or local laws. The Company will provide equal opportunities in employment and take affirmative action as... 
    Suggested
    Full time
    Contract work
    For contractors
    Local area
    Flexible hours

    Concrete Strategies

    Exton, PA
    9 hours ago
  • A technology solutions provider in Exton, Pennsylvania, is seeking an experienced professional with over 10 years of implementation experience on Oracle Sales Cloud and Oracle CPQ Cloud. The ideal candidate will have a strong background in CRM and excellent communication... 
    Senior

    Cloud Hybrid Technologies, LLC

    Exton, PA
    1 day ago
  •  ...and PMs, to deliver the established methods to internal team for method validation and sample analysis within the expected timeline. Provide technical support and troubleshooting in cases the method performance does not meet the expectation. Keep track of industry... 
    Senior
    Full time
    Temporary work
    Work experience placement

    Frontage Laboratories

    Exton, PA
    2 days ago
  •  ...Be visionary Teledyne Technologies Incorporated provides enabling technologies for industrial growth markets that require advanced technology...  ...that wins. Job Description We have an immediate opening for a Sr. Financial Analyst. A background in multi-national manufacturing... 
    Senior
    Work at office
    Local area
    Immediate start
    Flexible hours

    Teledyne Technologies

    Exton, PA
    2 days ago
  • $120.2k - $189.4k

     ...its growth and transformation, the Senior Organizational Change Manager will focus on Go-To-Market (GTM) change initiatives, driving...  ...experience in consulting, transformation, or strategic advisory roles, providing strategic advice and solutions to clients or internal... 
    Senior
    Flexible hours

    AXA Group

    Exton, PA
    3 days ago
  •  ...Assistant Store Manager Location: West Chester, PA (ShopRite of West Chester) Job Function: The Assistant Store Manager is accountable...  ...health and civil code regulations. Greet all customers and provide them with prompt, courteous service and assistance... 
    Senior
    Contract work
    Local area
    Shift work

    ShopRite

    West Chester, PA
    3 days ago
  •  ...enable informed decision-making. Responsibilities This role will provide you the opportunity to lead key activities to progress your...  ...trials. Work closely with study teams (programmers, data managers and clinical colleagues) in support of clinical trials. Apply... 
    Senior

    GSK LLP

    Newtown Square, PA
    1 day ago
  •  ...Sr HR Generalist CTDI is a large-scale Engineering, Repair, and Logistics company...  ...country's largest wireless telecommunications providers, as well as the largest High-speed...  ...business. The goal is to make the branch management teams better leaders, create better environments... 
    Senior
    Weekly pay
    Temporary work
    Work at office
    Worldwide
    Flexible hours

    CTDI

    West Chester, PA
    21 hours ago
  •  ...team adopts — owning the technical standards for how CSPM systems connect to enterprise infrastructure (CI/CD, CMDB, ITSM, identity providers). Partners with engineering leadership across Platform, DevOps, SRE, and application security teams to align on shared... 
    Senior
    Work experience placement
    Immediate start
    Shift work

    Vanguard

    Malvern, PA
    7 days ago
  • $128.47k - $192.71k

     ...Career Area Engineering Job Summary As a Sr. Energy Solutions Project Engineer , you...  ...deployment of DERs. You will contribute and provide engineering design and applications for...  ...procedural problems or issues. Project Management: Basic understanding and knowledge of effective... 
    Senior
    Part time
    For contractors
    Work at office
    Relocation package
    Flexible hours

    Caterpillar Inc.

    Kennett Square, PA
    1 day ago
  •  ...and qualitative research to understand the customer experience Manage customer advisory panels and user research sessions that...  ...competitors, regulatory changes, and shifts in buyer behavior Provide the CRO and commercial team with competitive intelligence that... 
    Senior
    Shift work

    Automated Financial Systems

    Exton, PA
    2 days ago
  •  ...Summary: The Secretary to Assistant Principal(s) provides secretarial support to ensure the smooth and efficient operations...  ...directs guests to appropriate locations ~ Substitute Management Oversees daily substitute management through the AESOP... 
    Hourly pay
    Work at office

    West Chester Area School District

    West Chester, PA
    21 hours ago
  •  ...production issues, implementing engineering changes, and ensuring compliance with aerospace standards. This role requires a proactive and collaborative mindset to work with cross-functional teams and provide technical support. #J-18808-Ljbffr Innovative Solutions & Support
    Senior

    Innovative Solutions & Support

    Exton, PA
    1 day ago
  •  ...role. See below We’re excited for a Senior Vulnerability Management Analyst to join our high-energy team – to help shape the...  ...owners on mitigation strategies or compensating controls, and to provide accurate & timely reporting that informs remediation progress... 
    Senior
    Work experience placement

    Vanguard

    Malvern, PA
    16 days ago
  •  ..., C++, MATLAB, or something close. You are organized enough to manage multiple projects across different stakeholders and autonomous...  ...matter expert embedded with a major Aerospace and Defense customer, providing modeling, analysis, and technical leadership using Systems Tool... 
    Senior
    Shift work

    Ansys, Inc.

    Exton, PA
    1 day ago
  •  ...strategies. The technology team partners closely with portfolio managers, researchers, traders, and quantitative developers to design,...  ...Integrate and work with carefully selected external vendor data provider solutions, ensuring reliable, performant, and well‑governed use... 
    Senior
    Work experience placement

    Vanguard

    Malvern, PA
    8 days ago
  • A cloud technology firm is seeking an experienced Qlik Cloud Architect to lead modernization initiatives on the Qlik Cloud platform. The ideal candidate will have over 10 years of experience with Qlik Sense/QlikView and SaaS administration. Responsibilities include shaping...
    Senior

    Cloud Hybrid Technologies, LLC

    Exton, PA
    1 day ago
  • MACHINE LEARNING TECHNOLOGIES LLC is looking for a Senior Analyst, Supply Chain in Exton, PA. This hybrid position involves providing analytical insights and reporting to support Integrated Business Planning and inventory processes. The ideal candidate has a strong supply... 
    Senior

    MACHINE LEARNING TECHNOLOGIES LLC

    Exton, PA
    1 day ago
  • $119.5k - $199.1k

    A leading insurance provider is seeking an Underwriter for their Excess and Surplus business in Exton, Pennsylvania. The role involves servicing a renewal book, producing new business, and building distribution channels. The ideal candidate will have a Bachelor’s degree... 
    Senior

    AXA Group

    Exton, PA
    1 day ago
  • $107.6k - $209.1k

    A leading risk management firm in Pennsylvania is seeking a skilled professional to provide technical support to underwriters. This role involves monitoring portfolio performance and collaborating with various teams to enhance products and services. Candidates should have... 
    Senior

    AXA XL

    Exton, PA
    1 day ago
  •  ...to join their innovative team in Exton, Pennsylvania. This role involves managing complex Cyber and Technology claims, developing client relationships, and collaborating with specialists to provide top-tier services. The ideal candidate will have a Bachelor's Degree, J.... 
    Senior

    AXA Group

    Exton, PA
    21 hours ago
  • $55k - $156.45k

    S&T Bank is seeking a Financial Planner in Exton, PA to develop new brokerage business and provide guidance and training to licensed assistants. The ideal candidate will have a four-year degree, required licenses (FINRA Series 7 and 66), and 5-10 years of investment-related... 
    Senior

    S&T Bank

    Exton, PA
    2 days ago
  • West Pharmaceutical Services in Exton, PA, is seeking a Quality Engineer to provide quality direction and governance across multiple projects. This hybrid position requires managing Quality Management Systems (QMS) to ensure compliance with regulatory standards while collaborating... 
    Senior

    West Pharmaceutical Services

    Exton, PA
    1 day ago
  • AXA Group is seeking a Sr. Claims Specialist for locations in Exton, PA; Hartford, CT; or New York City, NY. This role involves managing complex claims, collaborating with colleagues, and providing excellent customer service. Ideal candidates will have at least 5 years... 
    Senior
    Flexible hours

    AXA Group

    Exton, PA
    3 days ago
  •  ...Actuarial Pricing Analyst to join its North America Excess Casualty Insurance team. The role involves producing actuarial analyses and providing pricing guidance while collaborating with underwriters. Candidates should possess a relevant Bachelor’s degree and be pursuing... 
    Senior

    AXA Group

    Exton, PA
    3 days ago
  • JobRx, Inc. is seeking a Senior Analyst FP&A who will serve as a strategic business partner by providing financial insights and support to Corporate leaders. This hybrid position requires you to work onsite at least 3 days a week. The ideal candidate will possess 4-7 years... 
    Senior
    3 days per week

    JobRx, Inc.

    Exton, PA
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Provider Network Manager Sr. Be the first to apply!