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Elevance HealthCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in contract negotiations and provider relationship management, with a strong focus on customizing fee schedules and applying value-based concepts. Capable of conducting complex negotiations and preparing financial projections while effectively collaborating with cross-functional teams.
Highest-signal resume keywords
Contract NegotiationsProvider Relations ManagementFinancial Projections and AnalysisValue-Based ConceptsComplex Negotiations
About the role
Key responsibilities & impact- Develop the provider network through contract negotiations, relationship development, and servicing
- Maintain primary focus on contracting and negotiating contract terms
- Manage assigned California PPO provider territories
- Conduct fee-for-service rate negotiations and provider contracting strategy
- Manage provider relationships and ongoing network needs
- Resolve complex provider contracting and reimbursement issues with cross-functional teams
- Address rate and contract discrepancies, provider escalations, implementation issues, and remediation efforts impacting PPO providers
- Support contracting for institutional, professional, medical group, physician group, hospital, ancillary, and other complex providers
- Negotiate non-standard contractual arrangements
- Apply value-based concepts
- Customize fee schedules as needed
- Participate in cross-functional projects
- Serve as a communication link between professional providers and the company
- Conduct complex negotiations and draft documents
- Assist with financial projections and analysis
- Travel to worksites and other locations as necessary
Requirements
What you’ll need- Requires a BA/BS degree
- Minimum of 3 years’ experience in contracting, provider relations, or provider servicing
- Any combination of education and experience providing an equivalent background
- Experience with contract negotiations involving language and rates
- Understanding of value-based concepts
- Ability to customize fee schedules
- Ability to exercise judgment and discretion independently
- Ability to conduct complex negotiations and draft documents
- Ability to prepare financial projections and conduct analysis
- Ability to travel to worksites and other locations as necessary
- Candidates must reside within a reasonable commuting distance from a posting location unless an accommodation is granted
- New associates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza, unless an acceptable explanation is provided
Benefits
Comp & perks- 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) + match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
- Hybrid work flexibility
- Professional and personal growth opportunities
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
ContractingFee-For-Service Rate NegotiationsCustomizing Fee SchedulesDrafting DocumentsResolving Contract DiscrepanciesProvider Contracting StrategyNegotiating Non-Standard ContractsConducting Financial AnalysisManaging Provider TerritoriesAddressing Implementation Issues
Soft Skills
Judgment and DiscretionCommunication SkillsRelationship DevelopmentProblem-SolvingCollaboration
Certifications & Qualifications
BA/BS Degree
Industry Keywords
PPO ProvidersProvider ServicingInstitutional ProvidersProfessional ProvidersMedical GroupPhysician GroupHospital ProvidersAncillary ProvidersPatient/Member-Facing RolesCOVID-19 Vaccination