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Provider Network Manager Sr
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Provider Network Manager Senior
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Topeka, Kansas, United States Elevance Health Full time{"title": "Provider Network Manager Sr", "description": "Job SummaryWe are seeking a highly skilled Provider Network Manager Sr to join our team at Elevance Health. This role will be responsible for developing and maintaining positive provider relationships, coordinating non-negotiated contracts, and resolving complex provider issues.Key...
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Provider Network Manager Sr.
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Network Relations Consultant
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Topeka, Kansas, United States Elevance Health Full timeAbout the RoleWe are seeking a highly skilled Network Relations Consultant to join our team at Elevance Health. As a key member of our organization, you will play a critical role in developing and maintaining positive relationships with our healthcare provider network.Key ResponsibilitiesDevelop and implement strategies to improve provider satisfaction and...
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Network Relations Consultant
6 days ago
Topeka, Kansas, United States Elevance Health Full timeJob Title: Network Relations ConsultantAt Elevance Health, we are seeking a skilled Network Relations Consultant to join our team. As a key member of our organization, you will play a critical role in developing and maintaining positive provider relationships with the Kansas LTSS provider community.Key Responsibilities:Develop and maintain relationships with...
Provider Network Manager Sr
4 months ago
Location: Topeka KS, Kansas City KS Hours: M – F Standard Working Hours Travel: Hybrid (1-2 days onsite per week) In state travel to clients as needed Position Overview: Develops the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the most complex providers. Complex providers may include, but are not limited to large institutional providers, large medical groups and ancillary providers, value-based concepts understanding and support, providers in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard arrangements that require a high level of negotiation skills. Fee schedules are customized. How You Will Make an Impact: Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development Works independently and requires high level of judgment and discretion May work on projects impacting the business unit requiring collaboration with other key areas or serve on enterprise projects around network management May collaborate with sales team in making presentations to employer groups Serves as a communication link between professional providers and the company Ensure that network composition includes an appropriate distribution of provider specialties Conducts more complex negotiations and drafts documents Prepare financial projections and conduct analysis Required Qualifications: Requires a BA/BS degree and a minimum of 5 years’ experience in contracting, provider relations, provider servicing; experience should include prior contracting experience; or any combination of education and experience, which would provide an equivalent background. Preferred Qualifications: Experience in fee schedule development using actuarial models strongly preferred Travels to worksite and other locations as necessary
