Provider Relationship Account Manager Sr. (Value-Based Contracts) (JR142924)

Location: Candidates must reside within 50 miles and 1-hour commute each way of one of the following Elevance Health PulsePoint offices:       

• Atlanta, Georgia

• Columbus/Midland, GA

Elevance Health supports a hybrid workplace model (virtual and office) with PulsePoint sites used for collaboration, community, and connection, with the minimum in-office commitment for this role being 1 day in an office per week.

The Provider Relationship Account Manager Sr. is responsible for developing and maintaining positive provider relationships with a portfolio of providers participating in value-based programs in the Commercial, Medicaid, and Medicare lines of business.  Responsibilities include, but are not limited to:

• May act as a primary point of contact, post contract implementation, for providers participating in complex, Value Based Program operating structures and diverse integration/risk contracting strategies.

• Advocates for portfolio of assigned providers; fully understands their operating /business model and proactively identifies provider needs and recommends ways to improve existing relationships through best practices and manages relationships and provides leadership to dedicated matrixed teams.

• Conducts regular on-site and/or virtual/digital visits, communicates administrative and programmatic changes, and facilitates proactive education and resolution of highly complex, value based program provider issues.

• Functions as a high-level technical resource in analyzing what is driving provider cost and quality trends for the purpose of improving provider performance.   

• Leads internal performance strategy, and external Joint Operation Committees (JOC) meetings.

• Researches and analyzes issues that may impact future provider program participation.

• May provide mentorship, training, guidance to less experienced Provider Relationship Account Management associates.

Minimum Requirements:

• Bachelor's degree and a minimum of 5 years of customer service experience including 3 years’ experience healthcare or provider environment; or any combination of education and experience, which would provide an equivalent background.

• Travels to worksite and other locations as needed.

Preferred Qualifications:

• Experience working with Value-Based Contracts within Managed Care or Provider organizations.

• Medicare value-based experience with a focus on cost and quality performance strongly preferred; Commercial and Medicaid experience a plus.

• Experience driving provider cost of care and quality metric performance.

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 and Influenza. 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 elevancehealthjobssupport@elevancehealth.com for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.