Network Relations Consultant
4 days ago
As a Network Relations Consultant at Elevance Health, you will play a critical role in developing and maintaining positive provider relationships with the Kansas LTSS provider community.
Key Responsibilities:- Develop and implement strategies to improve provider satisfaction and engagement.
- Communicate administrative and programmatic changes to providers through regular on-site visits and education sessions.
- Facilitate the resolution of provider issues and appeals in a timely and effective manner.
- Research and analyze complex provider issues and recommend resolutions.
- Coordinate non-negotiated contracts for new and existing providers as needed.
- Participate in Joint Operation Committees (JOC) of larger provider groups.
- Coordinate communication processes on administrative and medical policy, reimbursement, and provider utilization patterns.
- Conduct seminars to support the understanding of managed care policies and procedures.
- Identify network access and deficiencies and develop recruitment and contracting strategies.
- Coordinate and conduct provider training, including developing and distributing provider relations materials.
- Bachelor's degree and a minimum of 3 years of customer service experience, including 2 years of experience as a Network Management Rep.
- Previous experience providing resolution of issues, including enrollment/eligibility determinations, credentialing issues, authorization issues, and claims processing/payment disputes is highly preferred.
Elevance Health is a health company dedicated to improving lives and communities. We offer a range of market-competitive total rewards, including merit increases, paid holidays, Paid Time Off, and incentive bonus programs. We also offer medical, dental, vision, short and long-term disability benefits, 401(k) + match, stock purchase plan, life insurance, wellness programs, and financial education resources.
We operate in a Hybrid Workforce Strategy, requiring associates to work at an Elevance Health location at least once per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation.
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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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
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
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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...
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Network Relations Consultant
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Topeka, Kansas, United States Elevance Health Full timeJob Title: Network Relations ConsultantJob Summary:The Network Relations Consultant will develop and maintain 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.Key Responsibilities:Develop...
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