Director Network Management-Colorado

Director Network Management-Colorado

Location: Denver, CO. This role requires associates to be in-office 3 days 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.

The Director Network Management-Colorado is responsible for network development and provider reimbursement for the Colorado Health Services Area. This leader oversees a team, managing a high-volume, complex portfolio spanning provider contracting, network adequacy, and performance management including regulatory scrutiny, network adequacy standards, and affordability initiatives.

How you will make an impact:

• Oversees contracting and maintenance of all facilities including hospitals, surgery centers, etc.
• Oversees the development, maintenance and reconciliation of physician risk contracts and capitated arrangement.
• Attracts, develops and manages key contracting and servicing staff.
• Develops innovative ways to maintain a cost effective network with adequate access and positive working relationships with providers.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Minimum Qualifications:

• Requires a BS/BA degree in business administration or related healthcare field and a minimum of 8 years healthcare operations, finance, underwriting, actuary, network development and sales experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Strongly preferred CPA or MBA degree.
• Strong leadership for effective issue escalation and stakeholder coordination, particularly with regulators and key provider systems.
• Strong analytical and relationship building skills.
• Previous provider contracting experience, preferably with large health systems.

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $158,312 to $237,468.

Location(s): Colorado

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.