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Elevance HealthCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in provider network development through contract negotiations and relationship management, with a strong focus on financial analysis and mentoring. Proven ability to lead complex projects and collaborate effectively with cross-functional teams.
Highest-signal resume keywords
Contract NegotiationProvider RelationsFinancial ProjectionsNetwork ManagementMentoring
About the role
Key responsibilities & impact- Develop the provider network through contract negotiations, relationship development, and servicing
- Contract and negotiate terms with complex providers
- Work with large institutional providers, large medical groups, ancillary providers, and value-based care concepts
- Serve as a key resource for contracting staff
- Provide mentoring and on-the-job training and development
- Independently lead network management projects and cross-functional initiatives
- Manage an assigned provider territory, complex contract negotiations, and ongoing provider relationships
- Collaborate with the sales team on presentations to employer groups
- Serve as a communication link between professional providers and the company
- Ensure appropriate distribution of provider specialties in the network
- Conduct complex negotiations and draft documents
- Prepare financial projections and conduct analysis
Requirements
What you’ll need- BA/BS degree and a minimum of 5 years’ experience in contracting, provider relations, or provider servicing; experience should include prior contracting experience; or any combination of education and experience providing an equivalent background
- Experience in fee schedule development using actuarial models strongly preferred
- California provider contracting experience preferred; provider contracting experience in other states also considered
- High level of negotiation skills
- Ability to independently lead network management projects and cross-functional initiatives
- Ability to manage complex contract negotiations and ongoing provider relationships
- Ability to prepare financial projections and conduct analysis
- Ability to travel to worksites 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
- Hybrid work flexibility
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 Schedule DevelopmentActuarial ModelsComplex NegotiationsFinancial Analysis
Soft Skills
High Level of Negotiation SkillsIndependent LeadershipCollaboration
Industry Keywords
Provider NetworkValue-Based CareCalifornia Provider ContractingProvider SpecialtiesCross-Functional Initiatives