Network Education Rep Sr
2 weeks ago
**Schedule:** Typical working hours are 8am - 5pm EST. Occasionally shifts in hours may occur dependent on where providers are located. **Location:** This position will take part in Elevance Health's hybrid workforce strategy which includes virtual-based work and onsite requirements as needed by the department only. Although this position is virtual-eligible our ideal candidate will still live within a reasonable proximity (1-hour commute and a 50-mile radius) to one of the above-listed Elevance Health major office locations. The **Network Education Rep Sr.** supports and maintains current provider network through customer service including training, credentialing assistance, claims resolution and advocacy. Develops and provides a standard orientation package for newly contracted providers. Promotes technology and skills development to improve provider business practices. Primary duties may include, but are not limited to: + Provides/coordinates provider training for claims and billing procedures, contract compliance, medical management, and pharmacy issues. + Promotes provider compliance with local/state/region/federal regulations through provider forums and training opportunities. + Supports the contractual agreements with all providers to ensure compliance with local/state/federal regulations. + Facilities provider network by recruiting necessary PCP, Specialist, Ancillary, and Hospital providers and assisting Network Support, Contracting, and Credentialing associates to credential and maintain accurate provider contract data. + Provides leadership in the development, implementation and evaluation of provider operations, contracting and issue resolution strategies. + Mentors, coaches and trains lower level staff. + Reviews state and national programs, trends and literature regarding provider issues and recommend appropriate strategies. **Minimum Qualifications** Requires a BA/BS degree and a minimum of 4 years experience; or any combination of education and experience, which would provide an equivalent background. For candidates working in person or remotely in the below locations, the salary range for this specific position is $64,160 to $96,240 Locations: California; Colorado; Nevada; New York; Washington State; Jersey City, NJ 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.
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