Manger Provider Economics

Manager Provider Economics Location: This role requires associates to be in-office 3 - 4 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. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Manager Provider Economics manages the development of negotiation impact analysis in support of hospital negotiations and physician fee schedule development. Provides expert advice and analytic support to executive management on cost of care issues and opportunities at the HSA level. How you will make an impact: Prepares healthcare cost analysis to identify new, innovative strategies to control costs. Performs complex fee modeling exercises and hospital modeling exercises. Communicates fee strategies both internally and externally to manage provider expectations. Prepares negotiation prep analysis to support development of negotiation strategy. Evaluates cost impact of negotiation proposals. Provides analytic support during complex provider negotiations. Analyzes claims experience to identify cost of care initiative opportunities. Oversees maintenance of professional provider fee schedules. Provides day to day negotiation support for national ancillary providers (lab, dialysis, etc). Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Requires a BA/BS degree in Business or related field; 3+ years experience in broad-based analytical, managed care payor or provider environment; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: Experience in statistical analysis strongly preferred. CPA or MBA preferred. Job Level: Manager Workshift: Job Family: RDA > Health Economics & Cost of Care 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.

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