Network Management Representative II

3 weeks ago


St Paul, United States Elevance Health Full time

Title: Network Management Representative II

Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.

The Network Management Representative II provides comprehensive services to the provider community through researching more complex provider issues.

How you will make an impact:

  • Serves as point of contact for other internal departments regarding provider issues that may impact provider satisfaction.

  • Researches and resolves the more complex provider issues and appeals for prompt resolution.

  • Coordinates prompt claims resolution through direct contact with providers and claims department.

  • Provides assistance with policy interpretation.

  • Researches, analyzes and recommends resolution of provider disputes, issues with billing, and other practices.

  • Assists providers with provider demographic changes as appropriate.

  • Responds to provider issues related to billing, pricing, policy, systems and reimbursements.

  • Determines if providers were paid according to contracted terms.

Minimum Requirements

  • H.S. diploma

  • Minimum of 3 years of customer service experience; one year experience as a Network Representative; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications

  • Ability to work in an inbound call center environment (30-90 calls per day) preferred.

  • Able to work M-F 10:00am - 6:30pm CST highly preferred.

For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $24.89/hr. to $40.87/hr.

Locations: California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJ

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully 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.

  • The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable

policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.



  • St Louis, United States William C Brown Inc Full time

    Network Administrator II EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. Description WCBinc is looking for a Network...


  • St Paul, United States LaSalle Network Full time

    LaSalle Network is partnering with a billion-dollar industry leading manufacturer of low-maintenance and environmentally sustainable building products, with a focus on decking and outdoor living. They are in search of a dynamic Global Sourcing Manager to develop and implement a comprehensive sourcing strategy for their company. This role manages the...

  • Network Engineer

    2 weeks ago


    St Paul, United States C4 Technical Services Full time

    Location : St. Cloud and will need to go into the office Top Skills: 3 + years with Cisco products Core switching, Nexus Fabric, ASA Firewalls, Edge and Core Routing etc. Opportunity The Network Engineer is responsible for minimizing risk to our systems and data. The Network Engineer assists with ensuring the stability, integrity, performance, and...

  • Network Technician

    1 week ago


    St Paul, United States Dungarvin Full time

    Company DescriptionA LITTLE ABOUT US: Dungarvin is a national organization of privately owned companies that are dedicated to providing high quality, community-based supports to people with intellectual and developmental disabilities, people who are faced with mental health, behavioral or significant medical challenges, and to children and their families. ...


  • Saint Paul, United States Catholic Charities of the Archdiocese of St Paul and Minneapolis Full time

    Job DescriptionJob DescriptionAre you passionate about creating opportunities for people to thrive?Catholic Charities is the place for you!Housing Support Representative IISt Paul/St Anthony/MidwayThe mission of Catholic Charities is to serve those most in need and to advocate for justice in the community.As the need for our services grows and becomes...


  • St. Paul, United States Bigos Management Inc. Full time

    BIGOS MANAGEMENT IS PROUD TO BE NAMED A STAR TRIBUNE TOP WORKPLACE IN 2023 FOR THE 9thTIME LOCATIONMears Park Place, Saint Paul, MinnesotaHOURS Monday-Friday 8:30am-5:00pm Occasional Saturdays. Scheduled dates and hours subject to change at employer discretionBENEFITS AND PERKS Competitive benefit package, including HSA employer contribution,...

  • Network Engineer

    2 days ago


    St Paul, United States Cetera Financial Group Full time

    Job Description At Cetera, our technology team is at the forefront of transforming the future of technology in the financial industry, and we seek curious, practical individuals to help us pave the way. Our team is not intimidated by taking calculated risks, as they relish a good challenge and are eager to engage in problem-solving. As a member of our team,...

  • Custodian II

    3 weeks ago


    St Paul, United States YMCA Twin Cities Full time

    The Custodian II is responsible for the cleanliness and sanitation of the areas assigned. The incumbent is accountable for the completions of assigned duties with a minimum level of supervision. Duties include, but are not limited to, mopping, dustin Custodian, Cleaning, Property Management, Equipment, Staff


  • St Paul, United States Logicalis Full time

    Job Description Summary Supports customers' network environments as member of Logicalis' 24x7x365 operations team, headquartered in West Chester, OH and Troy, MI. Provides support, incident management, problem management and change management for network devices and resources monitored by Logicalis Managed Services. Essential Duties and...

  • Network Data Engineer

    2 weeks ago


    St Paul, United States Diverse Lynx Full time

    Primary Skill (Technical Skill) : Cisco Routing, Switching and Wireless, Infoblox. Network Data Administrator: Focuses primarily on managing and administering data-related aspects of the network infrastructure. Responsibilities often include configuring and maintaining switches, routers, firewalls, and other network devices to ensure efficient data...

  • Network Engineer

    2 weeks ago


    St Paul, United States Indotronix International Corporation Full time

    Department/Project high-level description: Main responsibilities that the candidate will be responsible for: Interfacing with various Prime teams, vendors, clients and others for the implementation and support of networking products and services Install and support various Data Center and Enterprise routing and switching infrastructure (maintain edge,...


  • St Paul, United States Central Network Retail Group Full time

    Duties will include: Loading and unloading trucks, Sorting incoming product destined for one of our other locations, Transporting product throughout our warehouse and other duties as assigned. The ideal candidate would have some warehouse/forklift experience, but we are willing to train. Perform other duties similar to those above as assigned by the...

  • Network Engineer Lead

    11 hours ago


    St Paul, United States HealthPartners Full time

    Job Description HealthPartners is currently hiring for a Network Engineer Lead . The Network Engineer Lead will demonstrate subject matter expertise in a variety of Network Infrastructure areas, be responsible for network design, and focus on developing, maintaining, and monitoring the technology integrity and functionality of core network infrastructure...


  • St. Paul, United States Crown Equipment Corporation Full time

    Company Description:Crown Equipment Corporation, one of the world's largest lift truck manufacturers, offers local support on a global scale with more than 15 manufacturing facilities worldwide and more than 500 retail locations in over 80 countries. Our global sales and service network provides our customers with a local resource for a wide variety of...

  • Sales Manager

    4 weeks ago


    St Paul, United States Housing Hub Property Management Full time

    Job Description Job Description Job Title: Sales Manager - Property Management Location: Saint Paul, MN Job Type: Full-Time Salary: Base Salary + Commission Company Overview: Join our dynamic property management company, committed to enhancing the value and experience of property ownership. With an expansive portfolio and a dedication to excellence, we are a...


  • St Paul, United States Swift Strategic Solutions Inc Full time

    A Public Sector client of ours is looking for a Network Security Architect to work on their ongoing project in the Saint Paul, MN office.Below are the additional details of this role: Required Skills:Six (6) years’ experience in a security architect or engineer role.Three (3) years’ experience in network engineering, including firewall management.Four...


  • St Paul, United States Swift Strategic Solutions Inc Full time

    A Public Sector client of ours is looking for a Network Security Architect to work on their ongoing project in the Saint Paul, MN office.Below are the additional details of this role: Required Skills:Six (6) years’ experience in a security architect or engineer role.Three (3) years’ experience in network engineering, including firewall management.Four...


  • St Paul, United States Western & Southern Life Full time

    Organization : Name ST PAUL MN Default: Location : City ST PAUL Overview The purpose of the Financial Representative is to meet the middle-income client needs for risk protection, financial security, and wealth creation by educating clients, analyzing needs, and recommending solutions in an ethical and client-focused manner. The Financial Representative...

  • Custodian II

    7 days ago


    St Paul, United States YMCA of the USA Full time

    DescriptionThe Custodian is responsible for daily general janitorial cleaning of all common areas and other side-work in assigned work areas. Custodians will assist in making a great impression when members are using the facilities. Custodians (Housekeeping) ensures paper products and soap in restrooms and common areas in assigned work areas are replaced....

  • Custodian II

    3 weeks ago


    St Paul, United States YMCA of the USA Full time

    DescriptionThe Custodian is responsible for daily general janitorial cleaning of all common areas and other side-work in assigned work areas. Custodians will assist in making a great impression when members are using the facilities. Custodians (Housekeeping) ensures paper products and soap in restrooms and common areas in assigned work areas are replaced....