Strategic Provider Account Director
Elevance Health

Denver, Colorado

This job has expired.


Description

The Strategic Provider Account Director operates as a primary point of contact /central interface between strategic healthcare delivery systems, provider groups and Elevance Health's internal stakeholders. Owns the relationship, end to end, post contract for strategic initiatives and execution of core growth tactics for a defined set of strategic provider partners across Elevance Health for all applicable business segments.

This role is dedicated to strategic providers with complex operating structures such as value-based payment arrangements and diverse integration /risk contracting strategies, can include multiple large hospital systems (exceeding $1B in spend) and/or strategic growth partner IPAs, and care extenders, and MA strategic provider growth partners.

How you will make an impact:

  • Acts as an advocate for their portfolio of strategic providers; fully understands their operating /business model and proactively identifies provider needs and recommends ways to improve existing relationships through best practices.
  • Identifies opportunities to increase the cost of care savings as well as the provider group's performance in quality-of-care indicators.
  • Manages the relationship and provides leadership to a dedicated matrixed team accountable for contracting, value-based payment account management, claims processing and operations issue resolution, as well as care delivery transformation support, provider enablement and clinical subject matter experts.
  • Responsible for monitoring contract performance, including performance on Star, MRA, CoC and additional areas of opportunity, and overall monitoring of day-to-day program activities and deliverables across all lines of business, business segments and workgroups.
  • Accountable for strategy in the resolution and escalation of issues and barriers to success as required.
  • Engages appropriate internal matrixed resources to deliver on escalated service issues and appropriate process improvement initiatives.
  • Leads executive steering committees and joint operating forums.
  • Coordinates communications strategy on such issues as administrative and medical policy, contract reimbursement changes and provider utilization patterns.
  • Must have a strategic mindset to navigate the various segments, business areas, states and complex providers.
Requirements:

BA/BS and a minimum of 8 years' experience in contracting, provider relations, provider servicing; experience must include prior contracting experience and/or account management or sales; or any combination of education and experience, which would provide an equivalent background.

Ability to travel.

Assets and preferred qualifications:

5 years of experience in complex relationship management, account management or sales; or any combination of education and experience

Leadership experience (5 years direct or 8 years indirect) and strong understanding of value-based payment arrangements and diverse integration /risk contracting strategies

For candidates working in person or remotely in the below locations, the salary* range for this specific position is 126,420.00 - 158,025.00.

Locations: California; Colorado; Nevada; Washington State; Jersey City, NJ; New York City, NY; Ithaca, NY and Westchester County, NY

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 Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

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.

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. If you are not vaccinated, your offer will be rescinded unless you provide - and Elevance Health approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2022, has been ranked for five years running as one of the 2023 World's Most Admired Companies by Fortune magazine, and is a growing Top 20 Fortune 500 Company. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. 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 ability@icareerhelp.com for assistance.


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