at Elevance Health in Chicago, Illinois, United States
Job Description
Director Network Management-Wisconsin
Location: This position will work a hybrid model (remote and office).
The Director Network Management is responsible for network development and provider reimbursement for the state of Wisconsin.
How you will make an impact:
+ Oversees contracting and maintenance of all health systems, hospital and physician groups.
+ Maintain and develop networks for commercial, Medicare and Medicaid lines of business.
+ Participate in core business processes around provider data, claims and provider services.
+ Collaborate directly with the provider relations team.
+ Assist in developing strategy for physician risk contracts and capitated arrangement.
+ Attracts, develops, and manages contracting 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.
+ Supports change internally and externally in order to drive results.
+ Fosters positive relationships with key providers.
Minimum Qualifications:
+ 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.
Preferred Skills, Capabilities and Experiences:
+ Strongly preferred CPA or MBA degree.
+ Experience in managing a diverse, professional team.
+ Strong Communication skills to encompass verbal and written across all areas of the organization.
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