Anticipated End Date:

2024-12-31

Position Title:

Network Services Program Manager

Job Description:

Location: Alternate locations may be considered. This position will work in a hybrid environment. The ideal candidate must reside within 50 miles of an Elevance PulsePoint.

The Network Services Program Manager is responsible for supporting Network related enterprise functions, including process development and management, market support, inquiry support, communications, training, requirement development and user testing.  

How you'll make a difference:

Provides support for business fundamental management of existing programs, enhancements to existing programs, and new program roll-out.Performs operational vetting end to end to identify impacts for new programs as well as existing program changes.Supports market contracting and resolves issues.Develops and manages internal and external communications and associated legal and regulatory approvals.Develops and manages contract material and schedule for programs.Writes business requirements.Works with other business partners to guide and support solution development, pilot and solution launch activities.Develops and maintains process documentation.May manage small-scale program implementation efforts.

Minimum Requirements:

Requires BA/BS in business or related field and a minimum of 4 years health insurance industry experience; and 5 years program/project management experience; or any combination of education and experience, which would provide an equivalent background.

Preferred skills, qualifications and experiences:

Will support these existing high-level functions or handle new responsibilities in network maintenance and support and/or value-based programs:

Value-based (VB) Affinity & Attribution (member assignment process) supportVB BCBS Association (BCBSA) complianceVB downside risk losses and other recoupmentsVB Hybrid Affinity participation assessment and maintenanceVB issues managementVB communicationsCarelon / VB program integration rollout managementVB Medicaid operations improvements(BCBSA) BlueHPN network maintenance and supportNetwork inventory and profilingMARC and NOCC (Health Solutions) committees support

For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $92,190 to $151,570

Locations: Nevada and Washington DC

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:

Non-Management Exempt

Workshift:

Job Family:

PND > Value Based Solutions

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.