Job summary
Job post source
This job is directly from Avera Health Plans
Job overview
The Provider Contract Manager at Avera Health Plans is responsible for expanding and managing the provider network to support the organization's strategic goals and financial targets.
Responsibilities and impact
The role involves driving network expansion, negotiating contracts with providers, performing market analysis, maintaining performance dashboards, supporting provider training, and leading cost reduction and value-based care initiatives.
Experience and skills
A bachelor's degree and 1-3 years of relevant experience in Provider Relations and Contracting are required, with a master's degree and experience in Provider Network Management or related fields preferred.
Work environment and culture
The position requires commitment to Avera's mission, values, and standards including compassion, hospitality, stewardship, confidentiality, teamwork, and compliance with safety and regulatory standards.
Company information
Avera Health Plans is a healthcare organization focused on network management and provider relations to support healthcare delivery and financial performance.
Team overview
The role is part of the Network Management team, collaborating cross-functionally with Provider Relations, Contracting, and leadership.
Unique job features
The job includes unique responsibilities such as leading value-based contract negotiations, using technology for data analysis, and integrating innovative strategies to improve network performance.
Company overview
Avera Health Plans is a regional health insurance provider based in Sioux Falls, South Dakota, operating as part of the larger Avera Health system, which is a prominent network of hospitals, clinics, and care facilities across the Upper Midwest. The company offers a range of health insurance products for individuals, families, employers, and Medicare-eligible members, generating revenue primarily through premiums and partnerships with healthcare providers. Founded in 1999, Avera Health Plans leverages its integration with the Avera Health network to provide coordinated care and access to a broad provider network, emphasizing preventive services and wellness programs. Candidates should be aware of the organization’s faith-based roots and commitment to community health, which shape its mission and workplace culture. The company has adapted to regulatory changes in the healthcare industry, including the Affordable Care Act, and continues to innovate in digital health and member services.
How to land this job
Position your resume to highlight your experience in provider network management, contract negotiation, and market analysis, aligning with Avera Health Plans' focus on network expansion and financial performance.
Emphasize skills in developing negotiating strategies, financial modeling, and performance improvement initiatives, showcasing your ability to meet financial targets and support value-based care contracts.
Apply through multiple channels including Avera Health Plans' corporate career site and LinkedIn to maximize your chances of being noticed by recruiters.
Connect with current employees in the Network Management or Provider Relations divisions on LinkedIn; use ice breakers like commenting on recent Avera Health Plans network initiatives or asking about their experience with provider contract negotiations.
Optimize your resume for ATS by incorporating keywords from the job description such as 'provider network expansion,' 'contract negotiation,' 'financial analysis,' 'value-based care,' and 'market intelligence' to ensure it passes automated screenings.
Utilize Jennie Johnson's Power Apply feature to automate tailoring your resume, identify optimal application channels, and discover LinkedIn contacts for networking, allowing you to focus your time on interview preparation and strategic job search activities.
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