Provider Network Manager Sr
2 weeks ago
Develops and maintains positive provider relationships with the 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 the most complex provider issues impacting provider satisfaction, researches and resolves the most complex provider issues and appeals for prompt resolution.
Key Responsibilities:
- Coordinates non-negotiated contracts for new and existing providers as needed.
- Functions as a high-level technical resource to resolve or facilitate complex provider issues. Coordinates Joint Operation Committees (JOC) of larger provider groups, driving the meetings in the discussion of issues and changes.
- Provides 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 conducts provider refresher training.
- Researches issues that may impact future provider negotiations or jeopardize network retention.
- A Bachelor's degree and a minimum of 5 years of customer service experience, including 2 years of experience as a Network Management Rep; or any combination of education and experience, which would provide an equivalent background.
- Travels to worksite and other locations as necessary.
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Provider Network Manager Sr
4 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob DescriptionJob Title: Provider Network Manager SrLocation: Primarily work from home, with occasional on-site visits to the Topeka, KS area.Job Summary:We are seeking a highly skilled Provider Network Manager Sr to join our team at Elevance Health. As a key member of our network management team, you will be responsible for developing and maintaining...
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Provider Network Manager Sr
3 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryWe are seeking a highly skilled Provider Network Manager Sr to join our team at Elevance Health. As a key member of our network development team, you will be responsible for developing and maintaining our provider network through contract negotiations, relationship development, and servicing.Key ResponsibilitiesDevelop and implement strategies to...
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Provider Network Manager Sr
5 days ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryAs a Provider Network Manager Sr at Elevance Health, you will play a critical role in developing and maintaining positive provider relationships with the provider community. This includes regular on-site visits, communicating administrative and programmatic changes, and facilitating education and the resolution of provider issues.Key...
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Provider Network Manager Senior
3 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob Title: Provider Network Manager SrAt Elevance Health, we are seeking a highly skilled Provider Network Manager Sr to join our team. This role is responsible for developing and maintaining positive provider relationships with the provider community.Key Responsibilities:Coordinate non-negotiated contracts for new and existing providers as needed.Function...
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Provider Network Manager Senior
1 month ago
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
2 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryWe are seeking a skilled Provider Network Manager to join our team at Elevance Health. As a key member of our network management team, you will be responsible for developing and maintaining positive provider relationships, communicating administrative and programmatic changes, and facilitating education and the resolution of provider issues.Key...
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Provider Network Manager
3 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryWe are seeking a skilled Provider Network Manager to join our team at Elevance Health. As a key member of our network management team, you will be responsible for developing and maintaining positive provider relationships, communicating administrative and programmatic changes, and facilitating education and the resolution of provider issues.Key...
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Provider Network Development Manager
4 weeks ago
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Healthcare Network Manager Senior
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Provider Contract Manager
3 weeks ago
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Provider Contract Manager
3 weeks ago
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Healthcare Provider Relationship Manager
4 weeks ago
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Network Support Specialist
3 weeks ago
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Network Support Specialist
3 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob Title: Network Support ConsultantElevance Health is seeking a skilled Network Support Consultant to join our team. As a key member of our healthcare management team, you will play a critical role in ensuring the success of our network operations.Key Responsibilities:Communicate strategic initiatives to accounts and ensure their needs are met in terms of...
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Network Infrastructure Specialist
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Topeka, Kansas, United States Capitol Federal Savings Bank Full timeJob Description:As a Network Administrator II at Capitol Federal Savings Bank, you will play a critical role in ensuring the stability and security of our data and voice networks. This is a challenging and rewarding opportunity for a skilled professional to join our team and contribute to the success of our organization.Key Responsibilities:Analyze and...
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Network Support Specialist
3 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob Title: Network Support ConsultantElevance Health is seeking a skilled Network Support Consultant to join our team. As a key member of our healthcare management team, you will play a critical role in ensuring the success of our network operations.Key Responsibilities:Communicate strategic initiatives to accounts and ensure their needs are met in terms of...
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Network Security Specialist
4 weeks ago
Topeka, Kansas, United States Kansas Judicial Branch Full timeJob Title: Network Security EngineerJoin the Kansas Judicial Branch as a Network Security Engineer and play a critical role in securing our network and cloud infrastructure.Job Summary:We are seeking a highly skilled Network Security Engineer to join our team. The successful candidate will be responsible for ensuring the confidentiality, integrity, 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 strong...
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Network Relations Consultant
4 weeks 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...
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Network Relations Consultant
1 month ago
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...