Network Relations Specialist

2 weeks ago

Sacramento, California, United States Elevance Health Full time
Job Title: Network Relations Consultant

Location: Sacramento CA, Woodland Hills CA, Costa Mesa CA, Palo Alto CA, Walnut Creek CA

Hours: Standard M - F

Travel: Field Based Role (travel throughout assigned territory in California + occasional office milestone/meetings)

Job Summary:

We are seeking a skilled Network Relations Consultant to develop and maintain positive relationships with providers within a local health plan's LTSS/CalAIM provider network. The successful candidate will research and resolve operational issues, work with operational departments to address provider grievances and service issues, and provide explanations to providers regarding contract compliance, company procedures and policies.

Key Responsibilities:
  • Develops and maintains positive relationships with providers within a local health plan's LTSS/CalAIM provider network
  • Researches and resolves operational issues
  • Works with operational departments to address provider grievances and service issues
  • Provides explanations to providers regarding contract compliance, company procedures and policies
  • Recruits, orients and provides high quality service to providers
  • Identifies sufficient number and location of providers to meet area needs
  • Assists providers during contract execution
  • Identifies key opportunities for provider training
  • Conducts virtual and in-person provider visits to support LTSS network
  • Functions as a high level technical resource to resolve or facilitate complex provider issues
  • Develops new provider programs and addresses major issues related to systems, customer service issues, new network implementation, etc
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
What We Offer:

Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary range for this position is $59,040 to $106,272, based on a number of legitimate, non-discriminatory factors set by the Company.

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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