Healthcare Provider Experience Manager
2 days ago
We are seeking a skilled Healthcare Provider Experience Manager to join our team at Elevance Health. As a key member of our organization, you will be responsible for providing exceptional service to our provider community, developing and maintaining positive relationships, and driving business outcomes.
Key Responsibilities- Serve as a knowledge expert on provider issues impacting satisfaction and network retention
- Research, analyze, and coordinate prompt resolution to complex provider issues and appeals
- Collaborate with internal matrix partners to triage issues and submit work requests
- Coordinate Joint Operation Committees (JOC) of provider groups and drive meetings to discuss issues and changes
- Assist with Annual Provider Satisfaction Surveys, corrective action plan implementation, and education
- Coordinate communications process on administrative and medical policy, reimbursement, and provider utilization patterns
- Conduct proactive outreach to support understanding of managed care policies and procedures
- Participate in external Provider Townhalls/Seminars and attend State Association conferences
- Identify and report on provider utilization patterns impacting quality-of-service delivery
- Research issues impacting future provider contract negotiations or network retention
- Bachelor's degree
- Minimum 3 years of customer service experience, including 2 years in a healthcare or provider environment
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, and incentive bonus programs. We operate in a Hybrid Workforce Strategy, requiring associates to work at an Elevance Health location at least once per week. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. 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, 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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