What are the responsibilities and job description for the Provider Collaboration Mgr (US) position at Elevance Health?
Description
The Provider Collaboration Manager serves as lead support for assigned provider value-based contracts which may include leading and facilitating negotiation, amending and maintaining agreements.
How you will make an impact:
- Obtains and analyzes financial metrics and performance.
- Maintains up to date knowledge on Advanced Medical Home program and Medicaid Transformation efforts.
- Supports and facilitates value based JOCs (Joint Operating Committee meetings).
- Develops and maintains contact database and disseminates communications to providers as necessary.
- Aggregates and analyze provider data form various sources to recommend and implement solutions to assist with provider collaboration activities.
- Encourages providers to act on health equity opportunities aligned with NC-DHHS programming.
- Partners with provider clinical liaison regarding quality metrics and performance as it relates to the delegated care management value-based agreement.
- Collaborates with other AMH teams across the health plan as needed ultimately cost of care savings.
- Promotes practice transformation towards meeting the goals specified by NC-DHHS.
- May participate in various community and multi-department committees to assure effective AMH program implementation as specified by NC-DHHS.
- Tracks progress of program and prepares status reports to management or senior management.
- Performs a range of contract related assignments such as reviewing care management payment reports.
- Continues to build knowledge of the organization, processes and customers.
Minimum Requirements:
Requires a BA/BS degree and a minimum of 3 years’ experience in data base maintenance related to health care; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
- Value-based contracting experience strongly preferred
- Knowledge of NC Medicaid Transformation strongly preferred
- Advanced Medical Home experience preferred
- Experience with Managed Care (Medicaid) preferred
- Experience with advocacy, public policy preferred
- Knowledge of social determinants of health and public health preferred
- Ability to travel to provider locations strongly preferred
Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Be part of an Extraordinary Team
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
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, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-person. Unless in a designated virtual-eligible role and 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 – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health has been named as a Fortune Great Place To Work in 2022, has been ranked for five years running as one of the 2023 World’s Most Admired Companies by Fortune magazine, and is a growing Top 20 Fortune 500 Company. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. 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 ability@icareerhelp.com for assistance.
