Provider Relationship Account Manager

3 weeks ago


Topeka, Kansas, United States Elevance Health Full time
Job Description

We are seeking a skilled Provider Relationship Account Manager to join our team at Elevance Health. In this role, you will be responsible for developing and maintaining positive relationships with our provider community.

Key Responsibilities:

  • Provide quality, accessible, and comprehensive service to our provider community.
  • Develop and maintain positive provider relationships through regular on-site and/or virtual visits, communication of administrative and programmatic changes, and facilitation of education and issue resolution.
  • Collaborate with internal matrix partners to triage issues and submit work requests.
  • Coordinate Joint Operation Committees (JOC) of provider groups, driving meetings to discuss issues and changes.
  • Assist with Annual Provider Satisfaction Surveys, corrective action plan implementation, and education on contract questions and non-routine claim issues.
  • Coordinate communications on administrative and medical policy, reimbursement, and provider utilization patterns.
  • Conduct proactive outreach to support understanding of managed care policies and procedures, as well as various initiatives and programs.
  • Participate in external Provider Townhalls/Seminars and attend State Association conferences.
  • Identify and report on provider utilization patterns impacting quality-of-service delivery and research issues affecting future provider contract negotiations or network retention.

Requirements:

  • Bachelor's degree.
  • Minimum of 3 years of customer service experience, including 2 years in a healthcare or provider environment.

Work Environment:

This role is part of a Hybrid Workforce Strategy, requiring associates to work at an Elevance Health location at least once per week, and potentially several times per week. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

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.



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