Additional Information
Anticipated End Date:
2026-06-11
Position Title:
Director Provider Performance and Operations
Job Description:
Shift: Monday - Friday, 8:00am - 5:00pm EST
Location: Boston, MA highly preferred, Alternate locations may be considered if candidates reside within a commuting distance from an office,
Hybrid 2: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
How you will make an impact:
Directs the contract administration policies and standards and provides strategic oversight of contract administration function within a given unit.
Identifies Contract Administration information needs and technologies.
Develops and manages the annual operating budget within financial objectives and in a manner which goals are met.
Directs the Contract Administration team and Technical team, ensuring our contract administration goals are obtained and maintained, working with Network Management, ASO Sales, IT and our Vendor.
Manages the analysts and contractors to meet or exceed the health care target costs on a per unit basis.
Oversees contracts with hospital, Primary and Specialty care practices.
Manages contracting models, provider reimbursement, and risk modeling.
Hires, trains, coaches, counsels and evaluates performance of direct reports.
Supervises workflow and performance of subordinates.
Ensures compliance with departmental policies and procedures.
Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Provides quality control services by monitoring work results of direct reports.
Performs audits to monitor efficiency and compliance with policies.
Develops and implements associate training.
Prepares reports.
May be assigned to special project work consistent with the role and dictated by the needs of the business.
Minimum Requirements:
Requires Bachelors degree in a related field and minimum of 5 years equivalent work experience in provider contracting, or any combination of education/experience that would provide an equivalent background.
Preferred skills, capabilities, and experiences:
Strongly preferred analytical and negotiation skills and PC proficiency.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $147,660 to $221,490
Locations: Massachusetts
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.
Job Level:
Director
Workshift:
1st Shift (United States of America)
Job Family:
PND > Network Contracting
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.
Elevance Health (anthem) · Boston, 200 State St, MA