Search for Provider Network Manager roles in Manchester, NH, focusing on contract negotiations with at least 5 years of experience, preferably in managed care, and requiring project management skills.

Okay, I've searched for Provider Network Manager roles in Manchester, NH, that focus on contract negotiations, requiring at least 5 years of experience, preferably in a managed care environment, and needing project management skills. I have found 12 positions that match your criteria.

Provider Network Manager

Manchester, NH

5 years + Experience

Health Care

Project Management

Can you help me to analyze the job description and company culture?

Sure. Here's the analysis:

Job Analysis:

The Provider Network Manager Sr. position is fundamentally about developing and managing a robust provider network through effective contract negotiations and relationship building. The person in this role will be primarily responsible for negotiating complex contracts with large institutional providers, medical groups, and ancillary providers, which requires not only seasoned negotiation skills but also a deep understanding of the intricacies of managed care concepts. Given the focus on customizing fee schedules and developing value-based agreements, candidates will face challenges in navigating strong competition and ensuring appropriate provider specialty distribution within the network. Success in this position will entail not just achieving favorable contract terms but also fostering collaborative relationships between providers and the company, demonstrating a clear understanding of how these contracts align with Elevance Health's broader objectives. The essential qualifications—such as a degree and several years of relevant experience—allow individuals to effectively navigate these complexities and thrive in an environment that values both autonomy and strategic impact.

Company Analysis:

Elevance Health operates at the forefront of the health benefits industry and is uniquely positioned as a Fortune 25 company reinventing itself into a lifetime health partner. This transformation speaks to its commitment to innovation, demonstrating a strong market position amidst a rapidly evolving healthcare landscape. The culture appears to prioritize collaboration and adaptability within a hybrid workforce framework, emphasizing personal and professional growth for associates. In this context, the Provider Network Manager Sr. role will likely be a critical player in fostering inter-departmental partnerships and enhancing provider relationships, illustrating a key component of Elevance Health’s strategy to deliver integrated health solutions. Moreover, Elevance Health's overarching mission to simplify healthcare and improve community health reflects a shared value system that champions the health and well-being of both employees and the populations they serve, making this an exciting environment for someone passionate about impactful work in healthcare.

Mock up some interview questions based on the job description.

Absolutely. Here are some mock interview questions that could come up:

Tell me about a time when you had to navigate a complex negotiation. What strategies did you use to achieve a successful outcome?
Can you share an example of how you've educated providers about managed care concepts in previous roles?
Describe a situation where you faced resistance from a stakeholder during contract discussions. How did you handle it?
How would you prioritize multiple contracts needing negotiation at once while maintaining quality outcomes?
Discuss your approach to developing customized fee schedules. What factors do you consider crucial during this process?
What methodologies do you use to assess risk and determine financial projections in the context of contract negotiations?
How would you approach managing relationships with large institutional providers compared to small practices?
Imagine you are faced with a challenging provider who is resistant to signing a contract. How would you handle this situation to ensure a positive outcome?
Why are you interested in working at Elevance Health specifically?
How does Elevance Health's mission to improve community health resonate with your personal and professional values?
What aspects of the hybrid work culture at Elevance Health do you find most appealing for this role?
What initiatives or ideas would you propose to enhance provider relations within our network?
Can you ask about the team structure in relation to the Provider Network Manager Sr. role and how it interfaces with other departments?
What metrics or KPIs do you think are most important in evaluating the success of a Provider Network Manager?
How does Elevance Health's strategy influence your approach to contract negotiations and provider management?

Job Details

Overview Company

Senior Provider Network Manager

Elevance Health

3 days ago

Highlight

HybridContractor5+ yearsSenior

Summary

Elevance Health is seeking a Provider Network Manager Sr (Contract Negotiations) to join their team in Manchester, NH. The role involves developing the provider network through contract negotiations, relationship development, and servicing.

About the Role

As a Provider Network Manager Sr, you will focus on contracting and negotiating contract terms with complex providers, including large institutional providers and medical groups. You will serve as a key resource for contracting staff, work independently with high judgment, collaborate on projects, and ensure appropriate network composition. Responsibilities include conducting complex negotiations, drafting documents, and preparing financial projections.

About You

Required:

BA/BS degree and a minimum of 5 years’ experience in contracting, provider relations, provider servicing.
Prior contracting experience.

Preferred:

3 years contract negotiation experience within health plan/managed care environment.
Experience with standard reimbursement methodologies.
Fee schedule development using actuarial models.
Knowledge of Value-Based agreement components.
Project management skills.

Benefits

401(k)
Disability insurance
Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical, dental, vision coverage
Short and long term disability benefits
Stock purchase plan
Life insurance
Wellness programs
Financial education resources

Elevance Health

Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner.  

Our nearly 100,000 associates serve more than 118 million people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health. 

We believe that improving health for everyone is possible. It begins by redefining health, reimagining the health system, and strengthening our communities.

Manchester, NH