Network Relations Specialist
4 weeks ago
As a Network Relations Consultant at Elevance Health, you will play a critical role in developing and maintaining positive relationships with providers within our local health plan's LTSS/CalAIM provider network. Your expertise will be essential in researching and resolving operational issues, working with operational departments to address provider grievances and service issues, and providing explanations to providers regarding contract compliance, company procedures, and policies.
Key Responsibilities
* Develop and maintain positive relationships with providers within the local health plan's LTSS/CalAIM provider network
* Research and resolve operational issues
* Work with operational departments to address provider grievances and service issues
* Provide explanations to providers regarding contract compliance, company procedures, and policies
Requirements
* Requires a BA/BS degree and a minimum of 3 years experience as Network Services Specialist or as a Trainer; or any combination of education and experience, which would provide an equivalent background
* Experience working with LTSS/CalAIM preferred
* Experience presenting to leadership and varied audiences preferred
* Quality background preferred
* Interpersonal Skills is a must
* Ability to operate independently strongly preferred
About Elevance Health
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.
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