Network Relations Consultant

1 week ago

Tampa, Florida, United States Elevance Health Full time
Job Title: Network Relations Consultant

We are seeking a highly skilled Network Relations Consultant to join our team at Elevance Health. As a Network Relations Consultant, you will play a critical role in developing and maintaining positive provider relationships with the provider community.

Key Responsibilities:
  • Develop and maintain positive provider relationships with the provider community through regular on-site visits, communication of administrative and programmatic changes, and facilitation of education and resolution of provider issues.
  • Serve as a knowledge and resource expert regarding provider issues impacting provider satisfaction, research and resolve complex provider issues and appeals for prompt resolution.
  • May be responsible for coordinating non-negotiated contracts for new and existing providers as needed.
  • Research, analyze and recommend resolution for contract dispute, non-routine claim issues, billing questions and other practices.
  • May participate in Joint Operation Committees (JOC) of larger provider groups.
  • Coordinate communication process on such issues as 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.
  • Responsible for providing quality, accessible and comprehensive service to the company's provider community.
  • Provide 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.
  • Identify and report on provider utilization patterns which have a direct impact on the quality-of-service delivery.
  • Tracks and conduct provider refresher training.
  • Research issues that may impact future provider negotiations or jeopardize network retention.
Requirements:
  • Requires a bachelor's degree and a minimum of 3 years of customer service experience including 2 years' 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.
Preferred Skills, Capabilities, and Experiences:
  • Long term care experience.
  • Assisted living facilities.
  • Experience working with Medicaid providers.

  • Network Relations Consultant

    2 weeks ago

    Tampa, Florida, United States Elevance Health Full time

    Job Title: Network Relations ConsultantWe are seeking a skilled Network Relations Consultant to join our team at Elevance Health. As a key member of our organization, you will play a vital role in developing and maintaining positive relationships with our provider community.Key Responsibilities:Develop and maintain strong relationships with healthcare...

  • Network Relations Consultant

    2 weeks ago

    Tampa, Florida, United States Elevance Health Full time

    Job Title: Network Relations ConsultantWe 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 provider community.Key Responsibilities:Develop and maintain strong relationships with...

  • Network Relations Consultant

    2 weeks ago

    Tampa, Florida, United States Elevance Health Full time

    Job 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 our network of healthcare providers.Key Responsibilities:Develop and maintain strong...

  • Network Relations Consultant

    2 weeks ago

    Tampa, Florida, United States Elevance Health Full time

    Job Title: Network Relations ConsultantWe are seeking a skilled Network Relations Consultant to join our team at Elevance Health. As a key member of our organization, you will play a vital role in developing and maintaining positive relationships with our provider community.Key Responsibilities:Develop and maintain strong relationships with healthcare...

  • Network Relations Consultant

    3 weeks ago

    Tampa, Florida, United States Elevance Health Full time

    {"Job Title": "Network Relations Consultant", "Job Summary": "We are seeking a skilled Network Relations Consultant to join our team at Elevance Health. As a key member of our organization, you will be responsible for developing and maintaining positive provider relationships with the provider community. Your expertise will be essential in communicating...

  • Network Relations Consultant

    2 weeks ago

    Tampa, Florida, United States Elevance Health Full time

    Job Title: Network Relations ConsultantWe 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 provider community.Key Responsibilities:Develop and maintain strong relationships with...

  • Network Relations Consultant

    4 weeks ago

    Tampa, Florida, United States Elevance Health Full time

    {"title": "Network Relations Consultant", "description": "Job SummaryWe are seeking a skilled Network Relations Consultant to join our team at Elevance Health. As a key member of our network relations team, you will be responsible for developing and maintaining positive relationships with our provider community.Key ResponsibilitiesDevelop and maintain...

  • Network Relations Consultant

    2 weeks ago

    Tampa, Florida, United States Elevance Health Full time

    Job SummaryWe are seeking a 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 provider community.Key ResponsibilitiesDevelop and maintain strong relationships with healthcare providers through regular...

  • Network Relations Consultant

    4 weeks ago

    Tampa, Florida, United States Elevance Health Full time

    Job SummaryWe are seeking a 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 provider community.Key ResponsibilitiesDevelop and maintain strong relationships with healthcare providers through regular...

  • Network Relations Consultant

    4 weeks ago

    Tampa, Florida, United States Elevance Health Full time

    {"title": "Network Relations Consultant", "description": "Job SummaryWe are seeking a skilled Network Relations Consultant 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 relationships with our provider community.Key ResponsibilitiesDevelop and maintain...

  • Network Relations Consultant

    2 weeks ago

    Tampa, Florida, United States Elevance Health Full time

    Job DescriptionWe 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 provider community.Key Responsibilities:Develop and maintain strong relationships with healthcare providers through...

  • Network Engineer

    6 days ago

    Tampa, Florida, United States General Dynamics Information Technology Full time

    Job Title: Network / Application EngineerJob Summary:We are seeking a highly skilled Network / Application Engineer to join our team at General Dynamics Information Technology. As a Network / Application Engineer, you will be responsible for designing and implementing complex communication networks and cybersecurity solutions.Key Responsibilities:Collect,...

  • IT Network Support Specialist

    3 days ago

    Tampa, Florida, United States ENTRUST Solutions Group Full time

    Job Title: IT Network Support SpecialistWe are seeking an experienced IT Network Support Specialist to join our team at ENTRUST Solutions Group. As a key member of our technical staff, you will be responsible for providing network support and resolving connectivity issues, configuring hardware and software to optimize network communication, and monitoring...

  • Technical Consultant

    4 weeks ago

    Tampa, Florida, United States Philips Full time

    About the RoleWe are seeking a highly skilled Technical Consultant to join our team at Philips. As a Technical Consultant, you will play a critical role in providing pre and post-sale technical support for our patient monitoring solutions.Key ResponsibilitiesProvide technical support and consultation to customers on our patient monitoring solutionsImplement...

  • Network Architect

    4 weeks ago

    Tampa, Florida, United States General Dynamics Information Technology Full time

    Job Summary:General Dynamics Information Technology (GDIT) is seeking a highly skilled Network Engineer to join our team. As a Network Engineer, you will be responsible for designing, implementing, and maintaining the company's network infrastructure.Key Responsibilities:Design and implement network architecture to meet business requirementsConfigure and...

  • Senior Network Security Specialist

    2 weeks ago

    Tampa, Florida, United States Presidio Full time

    Job SummaryPresidio is seeking a highly skilled Senior Network Engineer to join our team in Florida. As a key member of our delivery team, you will be responsible for designing, implementing, and troubleshooting complex data and security networks.Key ResponsibilitiesPerform project-based engineering, design, installation, and troubleshooting of data and...

  • CCIE Enterprise Network Engineer

    2 weeks ago

    Tampa, Florida, United States ACAV and Associates LLC Full time

    Job Title: CCIE Enterprise Network EngineerWe are seeking a highly skilled CCIE Enterprise Network Engineer to join our team at ACAV and Associates LLC.Project Overview:The selected candidate will be responsible for replacing Fabric Cards in Large 88XX Routers by Cisco for Microsoft with Consultants performing the service. This project involves working with...

  • Network Coordinator

    2 weeks ago

    Tampa, Florida, United States Polk County Public Schools Full time

    Job SummaryThis position exists to perform responsible technical and professional work in the planning, design, operation, and management of instructional and non-instructional microcomputer networks.Key ResponsibilitiesCoordinates and supervises the planning, designing, and installation of instructional and non-instructional microcomputer networks and...

  • Network Systems Architect

    3 weeks ago

    Tampa, Florida, United States Arista Networks Full time

    Job Title: Network Systems EngineerJob SummaryArista Networks is seeking a highly skilled Network Systems Engineer to join our Sales Engineering team. As a critical member of our team, you will act as a trusted advisor to our customers, gathering requirements and identifying opportunities with existing and new customers in the area.Key...

  • Network Architect

    1 week ago

    Tampa, Florida, United States APN Software Services Inc Full time

    Job SummaryWe are seeking a highly skilled Network Engineer to join our team at APN Software Services Inc. The successful candidate will be responsible for designing, implementing, and maintaining our network infrastructure, ensuring seamless connectivity and data transmission across our Power Plants, Solar Fields, and Control Centers.Key...