Elevance Health

Director Network Management-Colorado

$158K–$237KFull-time · CO-DENVER, 700 BROADWAY
✓ Verified live on the employer's own system · added 17 days ago
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Senior · 8+ yrs exp

Requirements

Education: Bachelor's degree or related field

Experience: 8+ years

Skills & tools

ManagementMaintenanceCoachingOperationsLoan ProcessingSalesCPAMBA

Benefits — mentioned in this posting

Equity / stock401(k) / retirementBonus / commission
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Full job description

Location: Denver, CO. This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.

The Director Network Management-Colorado is responsible for network development and provider reimbursement for the Colorado Health Services Area. This leader oversees a team, managing a high-volume, complex portfolio spanning provider contracting, network adequacy, and performance management including regulatory scrutiny, network adequacy standards, and affordability initiatives.

- Oversees contracting and maintenance of all facilities including hospitals, surgery centers, etc. - Oversees the development, maintenance and reconciliation of physician risk contracts and capitated arrangement. - Attracts, develops and manages key contracting and servicing staff. - Develops innovative ways to maintain a cost effective network with adequate access and positive working relationships with providers. - Hires, trains, coaches, counsels, and evaluates performance of direct reports.

- Requires a BS/BA degree in business administration or related healthcare field and a minimum of 8 years healthcare operations, finance, underwriting, actuary, network development and sales experience; or any combination of education and experience, which would provide an equivalent background.

- Strongly preferred CPA or MBA degree. - Strong leadership for effective issue escalation and stakeholder coordination, particularly with regulators and key provider systems. - Strong analytical and relationship building skills. - Previous provider contracting experience, preferably with large health systems.

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $158,312 to $237,468.

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 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.

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This posting was published by Elevance Health on their own careers system and is shown here with a direct link to apply there. Employers: for corrections or removal, contact jobs@veritahire.com.