Create Email Alert

Email Alert for

ⓘ There was an unexpected error processing your request.

Please refresh the page and try again.

If the problem persists, please contact us with your issue.

Email address is already registered

You can always manage your preferences and update your interests to ensure you receive the most relevant opportunities.

Would you like to [visit your alert settings] now?

Success! You're now signed up for Job Alerts

Get ready to discover your next great opportunity.

Similar Jobs

  • State Street Corporation

    Product Management, VP

    Burlington, MA, United States

    • Ending Soon

    Who We Are Looking For The Technical Product Manager Platform role is a hands-on business-to-technology focused role and is an integral part of the Charles River software platform. The candidate will have excellent communication skills, have a hands-on approach, work side-by-side with Platform Product Management team and can collaborate with both

    Job Source: State Street Corporation
  • Granite Telecommunications

    VP of Product Management

    Quincy, MA, United States

    • Ending Soon

    Title : VP of Product Description of Position : The Vice President of Product will play a critical role in shaping the future of Granite's product offerings. This executive will be responsible for leading the product management team, defining product strategy, and overseeing the development and execution of new and existing products to drive growth

    Job Source: Granite Telecommunications
  • Granite Telecommunications

    VP of Product Management

    Quincy, MA, United States

    • Ending Soon

    Title : VP of Product Description of Position : The Vice President of Product will play a critical role in shaping the future of Granite's product offerings. This executive will be responsible for leading the product management team, defining product strategy, and overseeing the development and execution of new and existing products to drive growth

    Job Source: Granite Telecommunications
  • Evolved By Nature

    VP, Project Management

    Needham, MA, United States

    • Ending Soon

    The Vice President, Project Management will be responsible for leading the Project Management team, organizing, prioritizing, and communicating critical issues and required information to facilitate organizational excellence. This role will work cross-functionally to ensure programs are on track to meet annual corporate goals, with the appropriate

    Job Source: Evolved By Nature
  • Alnylam

    VP, Program Management

    Cambridge, MA, United States

    • Ending Soon

    At Alnylam, the Program Management team is responsible for partnering with all areas of the business to help advance programs into and through the clinic, as well as onto the market and beyond. Program Managers (PMs) work directly with Research colleagues to identify Development Candidate (DC) molecules to bring into the clinic. Once a Development

    Job Source: Alnylam
  • Alnylam

    VP, Program Management

    Cambridge, MA, United States

    At Alnylam, the Program Management team is responsible for partnering with all areas of the business to help advance programs into and through the clinic, as well as onto the market and beyond. Program Managers (PMs) work directly with Research colleagues to identify Development Candidate (DC) molecules to bring into the clinic. Once a Development

    Job Source: Alnylam
  • Aspen Technology

    VP, Product Management

    Bedford, MA, United States

    • Ending Soon

    The driving force behind our success has always been the people of AspenTech. What drives us, is our aspiration, our desire and ambition to keep pushing the envelope, overcoming any hurdle, challenging the status quo to continually find a better way. You will experience these qualities of passion, pride and aspiration in many ways — from a rich set

    Job Source: Aspen Technology
  • Confidential

    VP of Product Management

    Boston, MA, United States

    VP of Product Management About the Company Innovative internet security company offering Next Gen SIEM & XDR solutions Industry Internet Type Privately Held Founded 2017 Employees 51-200 Funding $76-$100 million Categories Computers Design Services Integration Services IT Management Technology Information Technology & Services Security About the

    Job Source: Confidential

Staff VP Network Management - Carelon_

Boston

**Location:** Strongly prefer West Coast candidate to reside within 50 miles of an Elevance Health office, and able to commute on-site at least 3 days per week.

**Introduction:**

Carelon Health is a part of the Carelon family of companies. As a payer-agnostic, subsidiary of Elevance Health, Carelon brings together the company’s healthcare services brands and 40,000-plus associates to help solve complex challenges across the health ecosystem. Through our portfolio of businesses, the Carelon family of companies serves one in three people across all 50 states.

**Summary:**

We seek a Staff VP of Network Contracting for this exciting opportunity to drive change and impact care delivery with provider partners. In this role, you will provide leadership, guidance, and oversight with respect to Value-Based Contracting with providers. You will oversee all provider network functions, including provider service, strategic relationships, and the value-based contracting strategy for the organization. The candidate will have a strong work ethic, be a self-starter, and be able to be highly productive in a dynamic, matrixed environment. This position offers broad exposure to all aspects of the company's business, as well as significant interaction with all the business leaders and stakeholders.

**Team Scope:**

As Staff VP of Network Contracting, you will be responsible for a team of 10 FTE’s.

Primary duties may include, but are not limited to:

+ Develops and implements network contracting and network expansion strategies specific to enterprise contracts, to include identifying and cultivating strategic alliances and building new network models with significant provider organizations.

+ Provides strategic design and implementation of high-performance networks to include facility and provider performance incentives.

+ Delivers planned medical trends and high quality/large provider networks that support business objectives for Medical Loss Ratio (MLR), growth, and income results.

+ Requires collaborating to identify customers' needs and to close network gaps.

+ Assists staff, as needed, during contract negotiations with high-volume provider groups or facilities.

+ Chairs and/or participates on internal committees, joint operating committees with provider organizations (providers) and operations meeting.

+ Ensures compliance with all regulatory and accreditation standards.

+ Oversees provider services to include provider education and general provider relations support.

+ Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Qualifications:

+ Requires a BA/BS degree; or any combination of education and experience, which would provide an equivalent background. Minimum of 10 years progressively responsible related experience in contract negotiation, network development and provider relations strongly preferred.

+ Preferred Skills, Capabilities and Experiences

+ 10+ years of experience in contract negotiation, network development and provider relations

+ Comprehensive understanding of value-based strategies and population health management

+ Strong experience building and maintaining relationships with large hospitals/provider systems, integrated delivery systems, and large physician groups

+ Strong leadership skills

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $170,400.00 to $306,720.00.

Locations: California and Nevada

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.

Apply

Create Email Alert

Create Email Alert

Email Alert for Staff VP Network Management - Carelon_ jobs in Boston

ⓘ There was an unexpected error processing your request.

Please refresh the page and try again.

If the problem persists, please contact us with your issue.

Email address is already registered

You can always manage your preferences and update your interests to ensure you receive the most relevant opportunities.

Would you like to [visit your alert settings] now?

Success! You're now signed up for Job Alerts

Get ready to discover your next great opportunity.