Network Relations Consultant
2 weeks ago
Network Relations Consultant, LTSS Provider Representative Location: Kansas. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Kansas Elevance Health PulsePoint locations. The Network Relations Consultant, LTSS Provider Representative develops and maintains positive provider relationships with the Kansas LTSS provider community by regular on-site visits, communicating administrative and programmatic changes, and facilitating, education and the resolution of provider issues. Serving as a knowledge and resource expert regarding provider issues impacting provider satisfaction, researches and resolves complex provider issues and appeals for prompt resolution. How you will make an impact: May be responsible for coordinating non-negotiated contracts for new and existing providers as needed. Researches, analyzes and recommends resolution for contract dispute, non-routine claim issues, billing questions and other practices. May participate in Joint Operation Committees (JOC) of larger provider groups. Coordinates communication process on such issues as administrative and medical policy, reimbursement and provider utilization patterns. Conducts seminars to support the understanding of managed care policies and procedures. Identifies network access and deficiencies and develops recruitment and contracting strategies. Coordinates and conducts provider training including developing and distributing provider relations materials. Responsible for providing quality, accessible and comprehensive service to the company's provider community. Provide assistance regarding education, contract questions and non-routine claim issues. Coordinates communications process on such issues as administrative and medical policy, reimbursement and provider utilization patterns. Coordinates prompt claims resolution through direct contact with providers, claims, pricing and medical management department. Identifies and reports on provider utilization patterns which have a direct impact on the quality of service delivery. Tracks and conduct provider refresher training. Researches issues that may impact future provider negotiations or jeopardize network retention. Minimum requirements: Requires a Bachelor's degree and a minimum of 3 years of customer service experience including 2 years experience as a Network Management Rep; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: Previous experience providing resolution of issues that include but are not limited to: Enrollment/eligibility determinations; credentialing issues; authorization issues; and Claims processing/payment disputes is highly preferred. Don't see the position you are looking for? Join our talent community where you'll be updated with the latest news from our team. For a more direct conversation about opportunities at KanCare, or to discuss our business, culture, our team, and beyond, feel free to reach out to me directly at: robin.zimmermann@elevancehealth.com
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Network Relations Consultant
4 days ago
Topeka, United States Elevance Health Full timeNetwork Relations Consultant, LTSS Provider Representative Location: Kansas. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Kansas Elevance Health PulsePoint locations. The Network Relations Consultant, LTSS Provider Representative develops and maintains positive provider relationships...
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Senior Consultant
6 days ago
Topeka, United States Trinity Consultants Full timeDepartment: Environmental Consulting Reports To: Managing Consultant or Principal Consultant FLSA Status: This position is exempt from overtime SUMMARY Join our high-caliber environmental consulting team supporting our Wyoming and Rocky Mountain Region operations as a senior consultant. In this position, you will develop and maintain client relationships...
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Sr. Consultant, Incident Response
6 days ago
Topeka, Kansas, United States CrowdStrike, Inc. Full timeCrowdStrike, Inc.Full timeR18687About the Role:CrowdStrike is looking for highly motivated, self-driven, technical consultants dedicated to making a difference in global security by protecting organizations against the most advanced attackers in the world. Our CrowdStrike Services team offers opportunities to expand your skill set through a wide variety of...
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IT Network
7 days ago
Topeka, United States Kansas Action for Children Full timeat Garmin International in Olathe, Kansas, United States Job Description Overview We are seeking a full-time IT Network and Telecommunications Engineer 1 in our Olathe, KS location. In this role, you will be responsible for performing basic administrative tasks, including managing basic system and performance management and performing on call duties as...
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Provider Network Management Director
2 weeks ago
Topeka, United States Elevance Health Full timeLocation: 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 for large health systems and affiliated physician groups including employed and...
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Network Infrastructure Technician
5 days ago
Topeka, United States Kansas Turnpike Authority Full timeJob DescriptionJob DescriptionDefinition and Examples of WorkInstalls, removes, diagnoses common problems, repairs, adjusts and monitors the performance of and conformance to specifications of equipment used for communication purposes, including mobile radio units, fiber optic communications equipment, telephone equipment, test equipment, batteries and...
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Provider Network Manager Sr
2 weeks ago
Topeka, United States Elevance Health Full timeLocation: 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....
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Director, Government Relations
1 week ago
Topeka, United States ASAE Full timePosition Description InterAction seeks a dynamic, experienced senior professional to join as a leader on our public policy and advocacy team, and lead our foreign assistance budget and appropriations portfolio, among other priorities. We are looking for someone who believes in the power of advocacy to shape a more peaceful and prosperous world and who knows...
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Senior Carbon Management Consultant
6 days ago
Topeka, United States Jacobs Full timeJacobs Senior Carbon Management Consultant - REMOTE Topeka , Kansas Apply Now Our People & Places Solutions business – reinforces our drive to improve the lives of people everywhere and epitomizes the "why" of what we do – the tremendous positive impact and value our solutions bring to our communities and society as a whole. From facilities delivering...
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Sr. Network Presales Engineer
7 days ago
Topeka, United States Howard Technology Solutions Full time*This position requires you to travel to customer sites in and around the Alabama territory. Must be currently located within Alabama. ABOUT HOWARD TECHNOLOGY SOLUTIONS Howard Technology Solutions is a premier retailer of brand name computers, consumer electronics, computer-related accessories, technology supplies and complete technology solutions. Our...
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Professional Services Consultant
2 weeks ago
Topeka, United States Kansas Action for Children Full timeat Follett School Solutions LLC in Overland Park, Kansas, United States Job Description Position Overview: The Destiny Solution Consultant plays a pivotal role in advising and guiding customers on the optimal implementation and utilization of the Destiny solution, encompassing both Resource Manager and Library Manager solutions. This position acts as a...
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Director of Chapter Relations
1 week ago
Topeka, United States Kentucky Society of Association Executives Full timeOur Chapter Relations team is a vital component of our strategic operations at the American Inns of Court. This team is focused on our primary strategic goal: to ensure a high-quality member experience. This goal is accomplished largely through successful local chapters. The Director of Chapter Relations for the western region is responsible for: Building...
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Director of Chapter Relations
5 days ago
Topeka, United States Kentucky Society of Association Executives Full timeOur Chapter Relations team is a vital component of our strategic operations at the American Inns of Court. This team is focused on our primary strategic goal: to ensure a high-quality member experience. This goal is accomplished largely through successful local chapters. The Director of Chapter Relations for the western region is responsible for: Building...
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Fitness Consultant
7 days ago
Topeka, United States Crunch Fitness - Fitness Ventures LLC Full timeJOB SUMMARY: We are looking to build the best Fitness team around! Are you looking to get into the fitness industry? Are you interested in training? We are looking for individuals who are in the process or are interested in getting their Personal Training certification to join our team. RESPONSIBLE FOR: Upholding the Crunch Franchise core values of...
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Aerospace Project Management Consultant
2 weeks ago
Topeka, United States MIGSO-PCUBED Full timeAre you looking for an exciting new challenge in Project Management? MIGSO-PCUBED is looking for an experienced and passionate Project Management Consultant to join our team and support our engagements in the Mobile area. This position is ON-SITE and requires you to commute within the Mobile Metropolitan area. Relocation assistance is not a negotiable...
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System & Network Operations Team Leader
2 weeks ago
Topeka, United States Capfed Full time** System & Network Operations Team Leader** **Job Category****:** Systems & Network Ops **Requisition Number****:** SYSTE003092 Showing 1 location **Job Details** **Description** **Role** Support the functions and processes of the System & Network Operations Center (SNOC) to include activities of the help desk, print shop, network and systems monitoring,...
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Clinical Network Lead
5 days ago
Topeka, United States Signify Health Full timeJob DescriptionJob DescriptionHow will this role have an impact?The Clinical Network Lead is responsible for clinical and operational leadership and strategic oversight of Signify Health's 1099 provider network (tenured) conducting virtual and in-home health risk evaluations. Location:This is a remote position with regional travel...
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EPMO Director Level Consultant
2 weeks ago
Topeka, United States Zillion Technologies Full timeEPMO Director Level Consultant- Healthcare Location: 100% Remote, (but local and willing to convert to perm role in 6 months.) Acceptable locations: DC, Maryland, Virginia, West Virginia (Preferred) Delaware, North Carolina, Pennsylvania (Extended) Florida, New Jersey, New York, Texas (Acceptable) EPMO Director Level Consultant will be pivotal in overseeing...
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Mortgage Junior Loan Consultant
7 days ago
Topeka, Kansas, United States First United Bank Full timeJoin Our TeamWe have a great team of friendly, talented and inspiring people at First United. As a learning organization, we take pride in offering exciting opportunities for employees to grow and follow their passions. That's one of the many reasons First United has been voted as one of the top places to work in Oklahoma since 2009 Browse this page to find...
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Consultant-Strategy & Risk | Remote, USA
5 days ago
Topeka, United States Kansas Action for Children Full timeat Optiv Security Inc. in Overland Park, Kansas, United States Job Description This position will be fully remote and can be hired anywhere in the continental U.S. at Optiv Security Inc. in Overland Park, Kansas, United States Job Description This position will be fully remote and can be hired anywhere in the continental U.S. Our Consultants execute the...