Provider Network Manager (Nevada Medicaid Behavioral Health)

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Job Description:

Provider Network Manager

Location:9133 W. Russell Rd Las Vegas NV

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. 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 an accommodation is granted as required by law.

A proud member of the Elevance Health family of companies Carelon Behavioral Health formerly Beacon Health Options offers superior clinical mental health and substance use disorder management a comprehensive employee assistance program work/life support specialty programs for autism and depression and insightful analytics to improve the delivery of care.

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 that are not part of a health system ancillary providers 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.

For candidates working in person or virtually in the below locations the salary* range for this specific position is $66048-$103572.

Location(s): Las Vegas Nevada

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.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location work experience education and/or skill level. Even within the range the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned vested and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus commission benefits or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys sole discretion unless and until paid and may be modified at the Companys sole discretion consistent with the law.

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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 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.