Provider Relationship Account Manager
1 week ago
Anticipated End Date:
2024-09-20
Position Title:
Provider Relationship Account Manager
Job Description:
Location: Des Moines IA
Hours: M – F Standard Working hours
Travel: (Travel to provider meetings as well as 1-2 per week to office)
Position Overview:
Responsible for providing quality, accessible and comprehensive service to the company's provider community.
How You Will Make an Impact:
-
Develops and maintains positive provider relationships with the provider community by regular on-site and/or virtual/digital visits, communicating administrative and programmatic changes, and facilitating education and the resolution of provider issues
-
Serves as a knowledge and resource expert regarding provider issues impacting provider satisfaction and network retention; researches, analyzes, and coordinates prompt resolution to complex provider issues and appeals through direct contact with providers and internal matrixed partners
-
Collaborates within a cohort of internal matrix partners to triage issues and submit work requests
-
Generally, is assigned to a portfolio of providers within a defined cohort
-
Coordinates Joint Operation Committees (JOC) of provider groups, driving the meetings in the discussion of issues and changes
-
May assist Annual Provider Satisfaction Surveys, required corrective action plan implementation and monitoring education, contract questions and non-routine claim issues
-
Coordinates communications process on such issues as administrative and medical policy, reimbursement, and provider utilization patterns
-
Conducts proactive outreach to support the understanding of managed care policies and procedures, as well as on a variety of initiatives and programs
-
Participates in external Provider Townhalls/Seminars and attends State Association conferences (e.g.: MGMA, AFP, AAP, HFMA)
Required Qualifications:
- Requires a bachelor’s degree; minimum of 3 years of customer service experience including 2 years of experience in a healthcare or provider environment; or any combination of education and experience, which would provide an equivalent background
Preferred Qualifications:
-
Healthcare provider engagement is a must
-
Medicaid experience preferred
-
Excel Experience (data manipulation) is strongly preferred
-
Ability to track task and multitask strongly preferred
Job Level:
Non-Management Exempt
Workshift:
1st Shift (United States of America)
Job Family:
PND > Provider Relationship Account Mgmt
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.
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.
Join our Talent Community and stay connected with company news, information, and future job opportunities.
Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner. Our nearly 100,000 associates serve approximately 100M+ people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health.
Please visit the Contract Worker Community Page .
Elevance Health is an Equal Opportunity Employer/Disability/Veterans.
-
Account Manager
2 months ago
Cumming, United States Carla Street - State Farm Agent Full timeJob DescriptionJob DescriptionROLE DESCRIPTION:As an Account Manager - State Farm Agent Team Member for Carla Street - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful client relations and acting as a liaison between customer needs and agency departments. You improve the lives of...
-
Insurance Account Representative
4 days ago
Cumming, Georgia, United States Michael Homans - State Farm Agent Full timeJob OverviewMichael Homans - State Farm Agent is seeking a skilled Insurance Account Position to join our team. As a key member of our agency, you will play a crucial role in building and maintaining strong relationships with clients, identifying their insurance needs, and providing tailored solutions to maximize value.Key ResponsibilitiesManage client...
-
Accounting Associate/Office Manager
17 hours ago
Cumming, United States Cannae Solutions Full timeSummary Our client, a growing developer of Quality Assurance software, is seeking an individual able to fill a hybrid role: accountant/office manager. This is a good opportunity for an individual seeking professional growth in either or both areas and enjoys a wide variety of daily work challenges. This job is at their Cumming, GA corporate headquarters. It...
-
Customer Account Manager
5 months ago
Cumming, United States DENNIS WILLIAM HOLLAND AGENCY Full timeJob DescriptionJob DescriptionWe are seeking a Customer Account Manager to join our team! You will resolve customer questions and offer solutions to drive company revenue.Responsibilities:Present and sell company products and services to new and existing customersProspect and contact potential customersReach agreed upon sales targets by the deadlineResolve...
-
Sales Account Executive
1 week ago
Cumming, Georgia, United States Scott Curry - State Farm Agent Full timePosition OverviewWe are seeking a dedicated Account Representative to enhance our client engagement and drive sales growth. This role is pivotal in establishing and nurturing customer relationships while effectively promoting our insurance products.Key Benefits:401(k) matchingAttractive salary structureCareer advancement opportunitiesGenerous paid time...
-
Sales Account Executive
1 week ago
Cumming, Georgia, United States Scott Curry - State Farm Agent Full timeJob OverviewWe are seeking a dedicated Account Representative to enhance our client relationships and drive sales growth. This role involves a blend of sales and customer service, ensuring our clients receive exceptional support and tailored solutions.Key Benefits:401(k) matchingAttractive salary packageOpportunities for career progressionGenerous paid time...
-
Chief Accounting Officer
2 weeks ago
Cumming, Georgia, United States OMS 360 Full timeLocation: RemoteJOB SUMMARYThe Financial Controller is responsible for delivering precise and timely monthly financial statements and other fiscal data for the Chief Financial Officer (CFO) to present to both internal and external stakeholders. This role encompasses essential financial management duties, including corporate accounting, regulatory compliance,...
-
Sales Account Executive
2 weeks ago
Cumming, Georgia, United States Scott Curry - State Farm Agent Full timePosition OverviewWe are seeking a motivated Account Representative to join our dynamic team at Scott Curry - State Farm Agent. This role is essential in driving our sales efforts and providing exceptional customer service.Key Benefits:401(k) matchingCompetitive salary structureOpportunities for career advancementGenerous paid time offComprehensive health...
-
Virtual Account Executive
2 weeks ago
Cumming, United States Bronson Kinkade Consulting Full timeJob DescriptionJob DescriptionNote: We don't consider International candidates.Excited to Begin Your Sales Adventure?Join our enthusiastic team as a Virtual Account Executive on a 1099 contract basis. Whether you're a seasoned sales expert or just beginning your career, this opportunity allows you to make a substantial impact while enjoying the perks...
-
Advanced Practice Provider
2 weeks ago
Cumming, United States Wellbe Senior Medical Full timeJob Summary: GREAT NEWS!! WE ARE OFFERING A $10K SIGN-ON BONUS! WELLBE INTRODUCTION The WellBe care model is a Physician Led Advanced Practice clinician driven geriatric care (care of older adults) team focused on the care of the frail, poly-chronic, elderly Medicare Advantage patients. This population is typically underserved and very challenged...
-
Senior Accounting Professional
6 days ago
Cumming, Georgia, United States Kennon Heating & Air Conditioning Full timeJob Summary:We are seeking a highly skilled and motivated Senior Bookkeeper to join our team at Kennon Heating & Air Conditioning, a local, family-owned and operated full service HVAC company. As a Senior Bookkeeper, you will play a critical role in maintaining the financial integrity of our organization.Key Responsibilities:Manage and maintain accurate and...
-
Insurance Account Position
5 days ago
Cumming, United States Michael Homans - State Farm Agent Full timeJob DescriptionJob DescriptionROLE DESCRIPTION:Michael Homans - State Farm Agent is searching for a competitive Producer who can recognize opportunities and strategically turn leads into long-lasting customer relationships. As our Insurance Account Position - State Farm Agent Team Member, your knowledge of insurance products and industry trends equips you to...
-
Advanced Practice Provider
3 days ago
Cumming, Georgia, United States DispatchHealth Management Full timeAbout the RoleWe are seeking a highly skilled Advanced Practice Provider to join our team at DispatchHealth Management. As a key member of our clinical care team, you will play a vital role in delivering high-quality, patient-centered care in the comfort of patients' homes.Key ResponsibilitiesWork collaboratively with a DispatchHealth Medical Technician...
-
Accounts Payable Specialist
3 months ago
Cumming, United States The Marionette Company Full timeJob DescriptionJob DescriptionJob SummaryCompiles and maintains Accounts Payable records.Assists with Accounts ReceivableGeneral AccountabilitiesCreates all vouchers for payment.Answers vendor inquiries.Manage AP email account – routing invoices as appropriate.Analyzes vendor accounts and negotiates extended terms with vendors.Prepares accounts payable...
-
Lead Accounting Specialist
2 weeks ago
Cumming, Georgia, United States NorthPoint Search Group Inc Full timeSenior Financial Accountant - Manufacturing & Distribution Key Responsibilities: Oversee all daily accounting functions for the organization.Generate and disseminate precise financial statements.Advise, document, and aid in the execution of operational procedures to guarantee adherence to accepted accounting standards and corporate policies.Manage Accounts...
-
Lead Accounting Specialist
2 weeks ago
Cumming, Georgia, United States NorthPoint Search Group Inc Full timeSenior Financial Accountant - Manufacturing & Distribution Key Responsibilities: Oversee all daily accounting functions for the organization.Generate and disseminate precise financial statements.Advise, document, and aid in the execution of operational procedures to guarantee adherence to established accounting standards and corporate guidelines.Manage...
-
Accounts Payable Specialist
3 months ago
Cumming, United States The Marionette Company Full timeJob DescriptionJob DescriptionJob SummaryCompiles and maintains Accounts Payable records.Assists with Accounts ReceivableGeneral AccountabilitiesCreates all vouchers for payment.Answers vendor inquiries.Manage AP email account – routing invoices as appropriate.Analyzes vendor accounts and negotiates extended terms with vendors.Prepares accounts payable...
-
Lead Accounting Specialist
2 weeks ago
Cumming, Georgia, United States NorthPoint Search Group Inc Full timeSenior Financial Accountant - Manufacturing & Distribution Key Responsibilities: Oversee all daily accounting functions for the organization.Generate and disseminate precise financial statements.Advise, document, and support the execution of operational procedures to guarantee adherence to established accounting standards and organizational policies.Manage...
-
Accounting Clerk
6 days ago
Cumming, Georgia, United States GeorgiaGov Full time**Job Summary:**We are seeking a highly skilled Accounting Technician to join our team at the Georgia Department of Corrections. As an Accounting Technician, you will play a critical role in ensuring the accuracy and integrity of our financial records.**Responsibilities:**Process and reconcile financial transactions, including accounts payable and accounts...
-
Entry-Level Accountant
3 months ago
Cumming, United States Community Business Full timeJob DescriptionJob DescriptionEntry-Level AccountantAre you a recent graduate with a passion for accuracy and a strong foundation in accounting principles?We are seeking a motivated and detail-oriented individual to join our growing team as an Entry-Level Accountant. In this role, you will gain valuable experience in a fast-paced environment, working...