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Elevance Health Director Provider Network Management - Remote in Oklahoma City, Oklahoma

Director Provider Network Management - Remote + Location: National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint + Job Family: PND > Provider Experience + Type: Full time + Date Posted:Jun 29, 2022 + Req #: PS74668 Description Build the Possibilities. Make an extraordinary impact. Responsible for oversight and strategy of Dental, Vision, and Non-Emergency Transportation subcontractors for Medicare and Medicaid product lines. Location: Remote How you will make an impact: + Oversees vendor performance to ensure compliance with service level agreements and facilitates corrective action regarding performance issues from issuance to resolution with the subcontractor. + Facilitates the planning and implementation of the transition of new work items assigned to the subcontractor in support of strategic goals and budget. + Acts as subject matter expert supporting contract negotiations, term development, and innovation in collaboration with other enterprise departments. + Leverages data to develop innovative ways to maximize the member experience and subcontractor contractual obligations including core performance metrics and quality targets. + Has key accountability and controls for all subcontractor implementation activities. + Works directly with business representatives to assure that all aspects of implementation run smoothly. + Investigates and resolves subcontractor business/operational related issues. + Hires, trains, coaches, counsels, and evaluates performance of direct reports. Minimum Requirements: + Requires a BS/BA degree in business administration or related healthcare field. + Minimum of 8 years healthcare operations, finance, underwriting, actuary, network development, subcontractor oversight and sales experience; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: + PMP or Six-Sigma certification also 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. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading. 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. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates 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 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at 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 contactability@icareerhelp.comfor assistance. EEO is the LawEqual Opportunity Employer / Disability / Veteran Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees. + EEO Policy Statement + EEO is the Law Postero + EEO Poster Supplement-English Version + Pay Transparency + Privacy Notice for California Residents Elevance Health, Inc. is an E-verify Employer Need Assistance?Email us ( or call 1-877-204-7664