Network Relations Specialist

2 weeks ago

Corpus Christi, Texas, United States Elevance Health Full time
{"title": "Network Relations Specialist", "content": "Job Summary

We are seeking a skilled Network Relations Specialist to join our team at Elevance Health. In this role, you will develop and maintain positive relationships with providers within our local health plan's LTSS provider network.

Key Responsibilities:

  • 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
  • Recruit, orient and provide high-quality service to providers
  • Identify sufficient number and location of providers to meet area needs
  • Assist providers during contract execution
  • Identify key opportunities for provider training
  • Conduct virtual and in-person provider visits to support LTSS network
  • Function as a high-level technical resource to resolve or facilitate complex provider issues

Requirements:

  • Requires a BA/BS degree and a minimum of 3 years' experience as Network Services Specialist or as a Trainer

Preferred Qualifications:

  • Experience working with LTSS 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.

Our Culture:

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

What We Offer:

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Work Environment:

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times 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.

Equal Employment Opportunity:

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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