Provider Network Management Director

Elevance Health

. Develop the provider network through contract negotiations, relationship development, and servicing for large health systems and affiliated physician groups .

Posted 9/22/2026full-timeWoodland Hills • California • United StatesLead💰 $118,588 - $185,616 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in provider network development, including contract negotiations and relationship management with health systems and physician groups. Proficient in value-based contracting and financial analysis to support complex negotiations and initiatives.

Highest-signal resume keywords

Contract NegotiationValue-Based ContractingProvider RelationsFinancial AnalysisProject Leadership

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ContractingNegotiationFinancial ModelingClaims AnalysisFee Schedule CustomizationShared SavingsACO DevelopmentProvider ServicingNetwork Development PlanningEnterprise-Wide Support

Soft Skills

Relationship DevelopmentMentoringCommunicationJudgmentCollaboration

Certifications & Qualifications

BA/BS Degree

Industry Keywords

Health SystemsProvider NetworkCommercialMedicaidMedicare

About the role

Key responsibilities & impact

Develop the provider network through contract negotiations, relationship development, and servicing for large health systems and affiliated physician groups
Focus on contracting and negotiating contract terms for complex health systems and affiliated providers
Drive and support value-based initiatives
Lead associate resources, special projects, initiatives, or network planning
Serve as a subject matter expert for local contracting efforts or specialized contracting components
Lead large-scale, multi-faceted negotiations
Represent the business unit on enterprise network-management initiatives
Lead projects with significant business-unit impact
Assist management in network development planning
Provide work direction and establish priorities for field staff
Support associate development and mentoring
Negotiate non-standard arrangements and customized fee schedules
Work independently using judgment and discretion
Collaborate with key areas on business-unit and enterprise network-management projects
Collaborate with sales teams on presentations to employer groups
Serve as a communication link between providers and the company
Conduct complex negotiations
Prepare financial projections and conduct analysis

Requirements

What you’ll need

Requires a BA/BS degree
Minimum of 8 years’ experience in contracting, provider relations, or provider servicing
Experience must include prior contracting experience
Experience in value-based contracting, shared savings, and ACO development
Or any combination of education and experience providing an equivalent background
Experience supporting hospital systems preferred
Experience using financial models and analysis to negotiate rates with providers strongly preferred
Extensive experience providing enterprise-wide support across Commercial, Medicaid, and Medicare strongly preferred
High-impact provider negotiation experience strongly preferred
Fee Schedule customization preferred
Claims background nice to have
Must be within a reasonable commuting distance from the posting location(s), unless an accommodation is granted as required by law
Travels to worksite and other locations as necessary

Benefits

Comp & perks

Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical benefits
Dental benefits
Vision benefits
Short-term disability benefits
Long-term disability benefits
401(k) with match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources