Campus Pride Jobs

Strategic Provider Account Director

Location: This position will work a hybrid model (remote and office). Ideal candidates must live within 50 miles of a PulsePoint location.

The Strategic Provider Account Director is responsible for being a primary point of contact /central interface between strategic healthcare delivery systems, provider groups, and Elevance Health’s internal stakeholders. Owns the relationship, end to end, post contract for strategic initiatives and execution of core growth tactics for a defined set of strategic provider partners across Elevance Health for all applicable business segments.

How you will make an impact:

• This role is dedicated to strategic providers with complex operating structures such as value-based payment arrangements and diverse integration /risk contracting strategies, can include multiple large hospital systems (exceeding $1B in spend) and/or strategic growth partner IPAs, and care extenders, and MA strategic provider growth partners.

• Acts as an advocate for their portfolio of strategic providers; fully understands their operating /business model and proactively identifies provider needs and recommends ways to improve existing relationships through best practices.

• Identifies opportunities to increase the cost of care savings as well as the provider group’s performance in quality-of-care indicators.

• Manages the relationship and provides leadership to a dedicated matrixed team accountable for contracting, value-based payment account management, claims processing, and operations issue resolution, as well as care delivery transformation support, provider enablement, and clinical subject matter experts.

• Responsible for monitoring contract performance, including performance on Star, MRA, CoC, and additional areas of opportunity, and overall monitoring of day-to-day program activities and deliverables across all lines of business, business segments, and workgroups.

• Accountable for strategy in the resolution and escalation of issues and barriers to success as required.

• Engages appropriate internal matrixed resources to deliver on escalated service issues and appropriate process improvement initiatives.

• Leads executive steering committees and joint operating forums.

• Coordinates communications strategy on such issues as administrative and medical policy, contract reimbursement changes, and provider utilization patterns.

• Must have a strategic mindset to navigate the various segments, business areas, states, and complex providers.

Minimum Requirements:

Requires a BA/BS and a minimum of 8 years experience in contracting, provider relations, provider servicing; experience must include prior contracting experience and/or account management or sales; and/or any combination of education and experience, which would provide an equivalent background. 5 years of experience in complex relationship management, account management, or sales; or any combination of education and experience strongly preferred.

Preferred Skills, Capabilities and Experiences:

• Leadership experience (5 yrs direct or 8 yrs indirect) and strong understanding of value-based payment arrangements and diverse integration /risk contracting strategies preferred.

• Travels to worksite and other locations as necessary.

For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $128,772 to $211,554

Locations: Seattle WA, Denver CO, Las Vegas NV

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

• The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

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 elevancehealthjobssupport@elevancehealth.com for assistance.