Senior Provider Network Manager
3 weeks ago
Job Summary:
Elevance Health is seeking a skilled Senior Provider Network Manager to join our team. As a key member of our network management team, you will be responsible for developing and maintaining positive provider relationships, communicating administrative and programmatic changes, and facilitating education and the resolution of provider issues.
Key Responsibilities:
- Develops and maintains positive provider relationships through regular on-site visits, communication, and education.
- Serves as a knowledge and resource expert regarding complex provider issues, researching and resolving issues for prompt resolution.
- Coordinates non-negotiated contracts for new and existing providers as needed.
- Functions as a high-level technical resource to resolve or facilitate complex provider issues.
- Coordinates Joint Operation Committees (JOC) of larger provider groups, driving meetings and discussions on issues and changes.
- Provides assistance regarding education, contract questions, and non-routine claim issues.
- Coordinates communications process on administrative and medical policy, reimbursement, and provider utilization patterns.
- Coordinates prompt claims resolution through direct contact with providers, claims, pricing, and medical management department.
- Identifies and reports on provider utilization patterns impacting quality of service delivery.
- Tracks and conducts provider refresher training.
- Researches issues impacting future provider negotiations or jeopardizing network retention.
Requirements:
A Bachelor's degree and a minimum of 5 years of customer service experience, including 2 years as a Network Management Rep, or any combination of education and experience providing an equivalent background.
What We Offer:
Elevance Health offers 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.
Work Environment:
Elevance Health operates in a Hybrid Workforce Strategy. 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.
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.
-
Senior Provider Network Manager
3 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryAs a Senior Provider Network Manager at Elevance Health, you will play a critical role in developing and maintaining positive provider relationships within the provider community. This involves regular on-site visits, effective communication of administrative and programmatic changes, and the facilitation of education and the resolution of...
-
Provider Network Manager Sr
4 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryAs a Provider Network Manager Sr at Elevance Health, you will play a critical role in developing and maintaining positive provider relationships with the provider community. This includes regular on-site visits, communicating administrative and programmatic changes, and facilitating education and the resolution of provider issues.Key...
-
Provider Network Manager Sr
3 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob Summary:As a Provider Network Manager Sr at Elevance Health, you will play a crucial role in developing and maintaining positive provider relationships within our provider community. Your primary responsibilities will include regular on-site visits, effective communication of administrative and programmatic changes, and facilitating education and the...
-
Topeka, Kansas, United States Elevance Health Full timeJob DescriptionWe are seeking a highly skilled Senior Program Manager for Provider Grievances and Appeals to join our team at Elevance Health. This role will be responsible for managing Provider Grievances, Provider Appeals, and Provider State Fair Hearings for the Kansas Health Plan.Key ResponsibilitiesIdentify potential issues, project changes, and scope...
-
Subsea Network Planner
4 weeks ago
Topeka, Kansas, United States Oracle Full timeJob DescriptionAs a Subsea Network Planner for Oracle Cloud Infrastructure (OCI), you will play a crucial role in expanding and scaling our next-generation cloud services. You will be part of the Global Network Planning Group, making strategic decisions that shape our network infrastructure, data center subsea strategy, and market presence.This position will...
-
Network Systems Engineer
3 weeks ago
Topeka, Kansas, United States Capitol Federal Savings Bank Full timeJob SummaryAs a Network Administrator II at Capitol Federal Savings Bank, you will be responsible for the day-to-day management of our network infrastructure. This includes monitoring network performance, recommending and implementing upgrades and patches, and providing technical support to users.Key ResponsibilitiesMonitor and maintain network performance...
-
Nursing Assistant
4 weeks ago
Topeka, Kansas, United States Legend Senior Living Full timeLegend Senior Living - A Great Place to WorkLegend Senior Living is proud to be recognized as a Certified Great Places to Work 6 years in a row. We are seeking a dedicated and compassionate Certified Nursing Assistant (CNA) to join our team at Legend at Capital Ridge.ResponsibilitiesAssist with daily care of residents, including personal care, grooming,...
-
Healthcare Operations Manager LPN
4 weeks ago
Topeka, Kansas, United States Brookdale Senior Living Full timeOverviewBrookdale Senior Living is committed to creating a workplace where our associates can thrive and grow. As a Wellness Coordinator LPN, you will play a critical role in ensuring the highest quality of care for our residents.ResponsibilitiesManage the day-to-day healthcare operations of the community to ensure residents' healthcare needs are met.Ensure...
-
Senior Development Manager
4 weeks ago
Topeka, Kansas, United States Vestas Full timeJob Title: Senior Development ManagerThe Senior Development Manager will be responsible for leading the development of a portfolio of projects, ensuring timely and within-budget execution. Key responsibilities include:Key Responsibilities:Guide a team of developers to deliver tasks and maintain project maturity through the pipeline.Monitor and submit status...
-
Network Infrastructure Specialist
4 weeks ago
Topeka, Kansas, United States Capitol Federal Savings Bank Full timeJob Description:As a Network Administrator II at Capitol Federal Savings Bank, you will play a critical role in ensuring the stability and security of our data and voice networks. This is a challenging and rewarding opportunity for a skilled professional to join our team and contribute to the success of our organization.Key Responsibilities:Analyze and...
-
Provider Relationship Account Manager
3 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob DescriptionWe are seeking a skilled Provider Relationship Account Manager to join our team at Elevance Health. In this role, you will be responsible for developing and maintaining positive relationships with our provider community.Key Responsibilities:Provide quality, accessible, and comprehensive service to our provider community.Develop and maintain...
-
Network Relations Consultant
4 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob Title: Network Relations ConsultantAs 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...
-
Senior Principal Product Manager/Strategy
4 weeks ago
Topeka, Kansas, United States Oracle Full timeJob DescriptionOracle Cloud Infrastructure (OCI) is a cutting-edge platform designed to meet the most demanding requirements for performance, security, and enterprise.We are the platform on which current and future Oracle SaaS applications will run, serving hundreds of thousands of customers worldwide, from startups to Fortune 100 companies, and from grade...
-
Licensed Practical Nurse
3 weeks ago
Topeka, Kansas, United States Cedarhurst Senior Living Full timeCareer Opportunity for Licensed Practical NurseCedarhurst Senior Living is seeking a dedicated and compassionate Licensed Practical Nurse to join our team. As a Licensed Practical Nurse, you will play a vital role in providing high-quality care to our residents, promoting their physical, personal, and emotional well-being.Key Responsibilities:Provide nursing...
-
Policy Initiatives Senior Manager
4 weeks ago
Topeka, Kansas, United States State of Kansas Full timeEmployment BenefitsComprehensive medical, mental, dental, vision, and additional coverageSick & Vacation leaveWork-Life Balance programs: parental leave, military leave, jury leave, funeral leavePaid State Holidays (designated by the Governor annually)Fitness Centers in select locationsEmployee discounts with theRetirement and deferred compensation...
-
Certified Nursing Assistant
4 weeks ago
Topeka, Kansas, United States Cedarhurst Senior Living Full timeCertified Nursing Assistant (CNA) Job DescriptionCedarhurst Senior Living is seeking a compassionate and skilled Certified Nursing Assistant (CNA) to join our team. As a CNA, you will play a vital role in providing exceptional care and support to our residents, ensuring their physical, emotional, and social needs are met.Key Responsibilities:Assist residents...
-
RN Unit Manager
4 weeks ago
Topeka, Kansas, United States Brookdale Senior Living Full timeAbout Brookdale RosehillBrookdale Rosehill is a leading provider of senior living services, dedicated to making a positive impact on the lives of our residents and associates. We are committed to delivering exceptional care and services that promote the well-being and dignity of our residents.Job SummaryWe are seeking a highly skilled and experienced RN Unit...
-
Aviation Readiness Support Site Lead
4 weeks ago
Topeka, Kansas, United States National Guard Employment Network Full timeAviation Readiness Support Site LeadAt National Guard Employment Network, we are seeking a highly skilled Site Lead to join our team. The successful candidate will be responsible for managing site activities, ensuring the execution of UH-60 phase maintenance, and administering operations to detect and correct unsafe conditions. Key Responsibilities Manage...
-
Senior Quality Assurance Tester
4 weeks ago
Topeka, Kansas, United States Syms Strategic Group, LLC (SSG) Full timeJob Title: Senior Quality Assurance TesterJob Summary:Syms Strategic Group, LLC (SSG) is seeking a highly skilled Senior Quality Assurance Tester to join our team. As a Senior Quality Assurance Tester, you will be responsible for managing and coordinating test events, creating test plans and test scripts, and leading testing efforts in accordance with Master...
-
Senior Case Manager
4 weeks ago
Topeka, Kansas, United States DiPasquale Moore Full timeJob Summary: We are seeking a highly skilled and organized Senior Case Manager to join our team at DiPasquale Moore, LLC. As a key member of our staff, you will provide exceptional customer service to clients, manage a high-volume caseload, and support our attorneys in their work.Key Responsibilities:Provide daily customer service to clients, ensuring timely...