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Healthcare Provider Engagement Manager
2 months ago
Provider Relationship Account Manager
Job Overview:
Location: Remote options available
Work Hours: Standard business hours, Monday to Friday
Travel Requirements: Occasional travel for provider meetings and office visits
Role Summary:
The Provider Relationship Account Manager is responsible for delivering high-quality, accessible, and comprehensive support to our provider network.
Key Responsibilities:
- Foster and sustain positive relationships with providers through regular on-site and virtual interactions, ensuring effective communication of administrative and programmatic updates while facilitating education and resolving provider concerns.
- Act as a subject matter expert on provider-related issues that influence satisfaction and network retention; investigate, analyze, and coordinate swift resolutions to complex provider inquiries and appeals through direct engagement with providers and internal partners.
- Collaborate with internal teams to address issues and submit work requests efficiently.
- Manage a designated portfolio of providers within a specific cohort.
- Lead Joint Operation Committees (JOC) with provider groups, steering discussions on relevant issues and changes.
- Assist with Annual Provider Satisfaction Surveys, implementing required corrective action plans, and monitoring education on contract inquiries and complex claims issues.
- Oversee communication processes regarding administrative and medical policies, reimbursement, and provider utilization trends.
- Conduct proactive outreach to enhance understanding of managed care policies and various initiatives.
- Engage in external Provider Townhalls/Seminars and participate in relevant State Association conferences.
Required:
- Bachelor's degree and a minimum of 3 years of customer service experience, including 2 years in a healthcare or provider setting; or an equivalent combination of education and experience.
- Experience in healthcare provider engagement is essential.
- Familiarity with Medicaid is advantageous.
- Proficiency in Excel for data manipulation is highly preferred.
- Strong multitasking and task tracking abilities are preferred.
Non-Management Exempt
Workshift:
1st Shift (United States of America)
Job Family:
PND > Provider Relationship Account Management
About Elevance Health:
Elevance Health is dedicated to enhancing lives and communities by simplifying healthcare. As a Fortune 25 company with a rich history in the healthcare sector, we seek leaders who are passionate about making a difference for our members and the communities we serve.
Our Culture:
At Elevance Health, we cultivate a culture that promotes strategic advancement while fostering personal and professional growth for our associates. Our core values and behaviors underpin our culture, driving our strategy, business outcomes, and collective success for our consumers, associates, communities, and business.
We offer a competitive total rewards package, including merit increases, paid holidays, Paid Time Off, and incentive bonus programs, alongside comprehensive medical, dental, and vision benefits, 401(k) matching, stock purchase plans, life insurance, wellness programs, and financial education resources.
Elevance Health operates under a Hybrid Workforce Strategy, requiring associates to work at an Elevance Health location at least once per week unless specified otherwise. Candidates must reside within a reasonable commuting distance of an Elevance Health location.
The health and safety of our associates and communities are paramount at Elevance Health. We require all new candidates in specific patient/member-facing roles to be vaccinated against COVID-19, with exceptions made for valid reasons. Elevance Health adheres to all relevant federal, state, and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to any protected status.
