Massachusetts Information Technology Jobs

Provider Collaboration Manager Sr. (Value-Based Contracts) JR128727

Location: Candidates must reside within 50 miles and 1-hour commute each way of our Manchester, NH Elevance Health location. Candidates in nearby states will be considered if they reside within 50 miles and 1 hour commute to our Manchester location.

Hybrid Role: Elevance Health supports a hybrid workplace model (virtual and office) with PulsePoint sites used for collaboration, community, and connection. The in-office commitment for this role requires working from our Manchester office Monday and Tuesday of each week.

• Travel throughout the state to visit providers as needed – up to 15%.

The Provider Collaboration Manager Sr. is responsible for providing operational and administrative support for the implementation, auditing and resolution of loading issues for payment innovation programs. Primary duties may include, but are not limited to:

• Provides support for assigned provider contracts.

• Manage and oversee the value based program intake process.

• Obtains and analyzes financial performance quality metrics and reports to providers on the impact to performance.

• Support and facilitates value based JOCs (Joint Operating Committee meetings).

• Develops and maintains contact database and disseminates communications to providers as necessary.

• Aggregate and analyze provider data from various sources to recommend and implement solutions to assist with provider collaboration activities.

• Collaborates with provider contractors and network relations reps to meet provider service needs.

• Encourages providers to act on patient outreach opportunities.

Minimum Requirements:

• BA/BS degree a minimum of 5 years’ experience in data base maintenance related to health care; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications:

• Experience negotiating Value-Based contracts.

• Experience working with Commercial and/or Medicare contracts.

• Strong analytical and problem-solving abilities, including the ability to interpret and utilize healthcare data.

• Demonstrated ability to lead and motivate cross-functional teams to achieve goals.

• Excellent written, verbal and interpersonal communication skills, with the ability to convey complex information effectively using Excel and PowerPoint.

• Strong understanding of the healthcare ecosystem.

• Provider environment experience strongly preferred.

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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

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 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 elevancehealthjobssupport@elevancehealth.com for assistance.