Massachusetts Green Jobs

Provider Collaboration Manager - Quality & Cost Program Management (JR112829)

Location: Must reside within 50 miles or 1 hour commute to one of the following Elevance Health office locations:

• Manchester, NH

• Wallingford, CT

• Smithfield, RI

• Woburn, MA

• South Portland, ME

• Middletown, Latham, or New York City, New York

Office Days : This role requires work in the local office 3 days per week: Monday, Tuesday and Thursday.

The Provider Collaboration Manager supporting New Hampshire receives a moderate level of guidance and direction in providing operational and administrative support for the implementation, auditing and resolution of loading issues for payment innovation programs. Primary duties may include, but are not limited to:

• Provides administrative and operational support for assigned provider contracts.

• Obtains, analyzes, aggregates, and presents to internal and external leadership, financial performance and quality metrics.

• Support and facilitates value based JOCs (Joint Operating Committee meetings).

• Maintains contact database and disseminates communications to providers as necessary.

• Aggregate and analyze provider data form various sources to recommend and implement solutions to ensure contract success.

• Collaborates with provider contractors, healthcare networks team and national business partners to meet provider contract needs.

• Encourages change management with providers to increase quality and decrease cost.

• Continues to build knowledge of the organization, processes, and customers.

Minimum Requirements:

• BA/BS degree and a minimum of 3 years’ experience in data operations related to health care; or any combination of education and experience, which would provide an equivalent background.

• Ability to multi-task and handle competing priorities.

Preferred Qualifications:

• Program management experience

• Value based/population health/payment innovation/quality and cost program experience.

• Value Based and fee for service contracting experience.

• Ability to analyze provider cost and quality, utilizing that data to create PowerPoint presentations to review with health system leadership

• Process improvement experience.

• Provider Network and or Healthcare Network experience.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $67,452 to $115,632

Locations: New York

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.