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Network Relations Specialist

2 months ago

Sacramento, California, United States Elevance Health Full time
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 relationships with providers within our LTSS/CalAIM provider network.

Key Responsibilities
  • Research and resolve operational issues with providers
  • 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 numbers and locations 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
  • Develop new provider programs and address major issues related to systems, customer service, and new network implementation
Requirements
  • BA/BS degree and a minimum of 3 years' experience as a Network Services Specialist or Trainer
  • Experience working with LTSS/CalAIM preferred
  • Experience presenting to leadership and varied audiences preferred
  • Quality background preferred
  • Interpersonal skills are a must
  • Ability to operate independently strongly preferred
What We Offer

Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution. We are committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.