Elevance Health
Location
Manchester, NH | United States
Job description
Provider Collaboration Manager - Quality & Cost Program Management (JR106621)
Location: Must reside within 50 miles or 1 hour commute to our Manchester, New Hampshire office.
***This role is part of our Hybrid 2 Workplace Strategy and requires work in the office 3 days per week, Monday, Tuesday and Thursday.***
Note: Provider visits (Virtual and in person) in New Hampshire will be required.
The Provider Collaboration Manager receives a moderate level of guidance and direction in 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 administrative and operational support for assigned provider contracts.
Obtains, analyzes, aggregates, and presents to internal and external leadership, financial performance and quality metrics.
Support and facilitates value based JOCs (Joint Operating Committee meetings).
Maintains contact database and disseminates communications to providers as necessary.
Aggregate and analyze provider data form various sources to recommend and implement solutions to ensure contract success.
Collaborates with provider contractors, healthcare networks team and national business partners to meet provider contract needs.
Encourages change management with providers to increase quality and decrease cost.
Continues to build knowledge of the organization, processes, and customers.
Minimum Requirements:
BA/BS degree and a minimum of 3 years' experience in data operations related to health care; or any combination of education and experience, which would provide an equivalent background.
Preferred Qualifications:
Program management experience
Value based/population health/payment innovation/quality and cost program experience.
Value Based and fee for service contracting experience.
Ability to analyze provider cost and quality, utilizing that data to create PowerPoint presentations to review with health system leadership
Process improvement experience.
Provider Network and or Healthcare Network experience.
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 [email protected] assistance.
Job tags
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