Current jobs related to LTSS Network Relations Consultant Sr. - Richmond - Elevance Health
-
Sr Network Engineer
2 weeks ago
Richmond, United States ClearBridge Technology Group Full timeOur client, a large healthcare client located in Richmond, VA, is looking to hire a Sr Network Engineer for a full-time position. The role is hybrid onsite for the first 3 months and once established, there is the opportunity to work remotely. The engineer will also work as part of an on-call rotation every 12 weeks. The engineer will be responsible for...
-
Richmond, United States CareBridge Health Full timeJob DescriptionJob DescriptionLTSS Specialist--VirginiaThe CareBridge Long Term Services and Supports (LTSS) Specialist collaborates with Managed Care Organizations to support persons aging in place receiving home and community based services. The LTSS Specialist performs telephonic and/or virtual assessments to identify participants' needs including...
-
Richmond, United States CareBridge Health Full timeJob DescriptionJob DescriptionLTSS Specialist--VirginiaThe CareBridge Long Term Services and Supports (LTSS) Specialist collaborates with Managed Care Organizations to support persons aging in place receiving home and community based services. The LTSS Specialist performs telephonic and/or virtual assessments to identify participants' needs including...
-
Network Consultant
4 weeks ago
Richmond, United States Brooksource Full timeNetwork ConsultantLong-term ContractHybrid (2-3 days on-site): Richmond, VAOverview:Join Brooksource and support the leading IT agency in Virginia as an experienced Network Consultant. This role is crucial for assessing and verifying information provided by Verizon to ensure its accuracy and fairness. You will play a pivotal role in supporting VITA’s...
-
Network Consultant
1 month ago
Richmond, United States Brooksource Full timeNetwork ConsultantLong-term ContractHybrid (2-3 days on-site): Richmond, VAOverview:Join Brooksource and support the leading IT agency in Virginia as an experienced Network Consultant. This role is crucial for assessing and verifying information provided by Verizon to ensure its accuracy and fairness. You will play a pivotal role in supporting VITA’s...
-
Sr. Alteryx Consultant
4 weeks ago
Richmond, United States Dexian Full timeTitle: Sr. Alteryx Consultant 100% Remote Long term roleRequired Skills:Terraform ExperienceAutomations & Scripting ExpCloud Exp (AWS)Work with the DevOps team.Understand and run the functions. (Redshift/RDS)Deploy Alteryx server.Provide working user & capabilities.Experience:Someone who knows the frontend & backend.Works with DevOps teams & Customers to...
-
Network engineer
4 weeks ago
Richmond, United States EA Team, Inc. Full timeJob DescriptionJob DescriptionGreetings, My name is Sean and I\'m an IT recruiter at EA Team Our records show that you are an experienced professional with experience in Sr. Network EngineerThis experience is relevant to one of my current openings.Please find the job description below. If you think this is a good match, please send me your updated resume...
-
Sr. Environmental Engineer
3 weeks ago
Richmond, United States Talent Acquisition Consultant Full timeMy client is a national environmental and engineering consulting services firm who is seeking a Senior Environmental Engineer or Geologist to work with clients and oversee teams and projects. This person will support the Northern California offices site assessment and remediation group. The successful candidate will be highly competent and experienced in...
-
Sr. Environmental Engineer
3 weeks ago
Richmond, United States Talent Acquisition Consultant Full timeMy client is a national environmental and engineering consulting services firm who is seeking a Senior Environmental Engineer or Geologist to work with clients and oversee teams and projects. This person will support the Northern California offices site assessment and remediation group. The successful candidate will be highly competent and experienced in...
-
Investment Relations Consultant
2 months ago
Richmond, United States Carlton Staffing Full timeJob DescriptionJob DescriptionWe’re hiring an Investor Relations Specialist for our Southwest Houston client! We are looking for experienced, reliable, hard-working employees who can interview immediately! DESCRIPTION OF YOUR DREAM JOB:Job Title: Investor Relations ConsultantLocation: Southwest HoustonPay: $50k-70$k DOEHours: Monday – Friday...
-
Network Architect
3 months ago
Richmond, United States Cybernetic Search Full timeCybernetic Search is partnered with an exciting energy company with a focus on renewable energy. We are seeking a Sr Network Architect to support the non-nuclear power generation fleet and the renewable generation projects like solar and battery storage.Responsibilities:Architect and implement network designs for non-nuclear power generationSupport SCADA and...
-
Network Architect
3 months ago
Richmond, United States Cybernetic Search Full timeCybernetic Search is partnered with an exciting energy company with a focus on renewable energy. We are seeking a Sr Network Architect to support the non-nuclear power generation fleet and the renewable generation projects like solar and battery storage.Responsibilities:Architect and implement network designs for non-nuclear power generationSupport SCADA and...
-
Lead Employee Relations Consultant
1 week ago
Richmond, Virginia, United States Commonwealth of Virginia Full timePosition OverviewThe Commonwealth of Virginia is in search of a Senior Employee Relations Advisor to deliver expert guidance, support, and training to both staff and management on a variety of employee relations matters, compliance issues, and organizational policies.The selected candidate will play a crucial role in mitigating agency risks and minimizing...
-
Training Specialist
2 weeks ago
Richmond, United States Elevance Health Full time**Training Specialist, LTSS Service Coordination** **Location** : Virginia. This is a hybrid role with 1 - 2 days per week required in-office. The ideal candidate will live within 50 miles of one of our Richmond, Norfolk or Roanoke Elevance Health PulsePoint locations. **Hours** **: General business hours, Monday through Friday.** **Travel** **:** Travels...
-
Arista Network Engineer
2 weeks ago
Richmond, United States CyberTec Full timeJob Title: Sr. Arista Network Engineer Location: Richmond, VA 23219 (Need to come to office 3 days a week) Duration: Full Time Permanent Salary: $100K-$125K/Annum + Benefits NOTE: H1B Transfer acceptable and Client will file visa in premium once confirmed. Candidate Details Required: Full Name: Current Location Address with Zip Code: Phone: ...
-
Patient Safety
3 months ago
Richmond, United States VCU Health Full timeThe Patient Safety & Quality Consultant Sr. is a thought partner with VCUHS executive, physician, nursing and ancillary leaders in strategic planning and implementation of data-driven initiatives to achieve clinical excellence at the system, service line and care site level. The role serves as a coach, facilitator, or advisor as appropriate for the needs of...
-
Senior Network Engineer
1 month ago
Richmond, United States Insight Global Full timeMH: 12 years of networking experienceCore infrastructure CCNPCCNACisco 9k SwitchesWorkday Day (United States of America)+ Education/training Responsibilities: •The Senior Networking Engineer performs activities with respect to network communications including configuration, installation, troubleshooting and management including LAN and WAN systems•Work...
-
Senior Network Engineer
1 month ago
Richmond, United States Insight Global Full timeMH: 12 years of networking experienceCore infrastructure CCNPCCNACisco 9k SwitchesWorkday Day (United States of America)+ Education/training Responsibilities: •The Senior Networking Engineer performs activities with respect to network communications including configuration, installation, troubleshooting and management including LAN and WAN systems•Work...
-
Sr. Network Engineer
3 months ago
Richmond, United States CarMax Full timeSenior Network Engineer with expertise in Networking who will be responsible for implementing highly scalable solutions on the Microsoft Azure Public Cloud and On-Premises environment. The ideal candidate will be responsible for designing, implementing, and maintaining our organization's network architecture to ensure optimal performance, security, and...
-
Sr. Network Engineer
3 months ago
Richmond, United States CarMax Full timeSenior Network Engineer with expertise in Networking who will be responsible for implementing highly scalable solutions on the Microsoft Azure Public Cloud and On-Premises environment. The ideal candidate will be responsible for designing, implementing, and maintaining our organization's network architecture to ensure optimal performance, security, and...
LTSS Network Relations Consultant Sr.
2 months ago
Job Description
:LOCATION: This is a hybrid role requiring 1-2 days per week in the office. You must be within 50 miles of Richmond, Norfolk, or Roanoke, and Virginia residency is required.
HOURS: General business hours, Monday through Friday.
TRAVEL: Travels to worksite and other locations as necessary.
The Network Relations Consultant Sr. develops and maintains positive provider relationships with provider community by regular on-site visits, communicating administrative and programmatic changes, and facilitating, education and the resolution of provider issues.
Primary duties include but are not limited to:
Serve as a knowledge and resource expert regarding the most complex provider issues impacting provider satisfaction, researches and resolves the most complex provider issues and appeals for prompt resolution.
May be responsible for coordinating non-negotiated contracts for new and existing providers as needed.
Functions as a high level technical resource to resolve or facilitate complex provider issues.
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.
Identifies and reports on provider utilization patterns which have a direct impact on the quality of service delivery.
Tracks and conduct provider refresher training.
Researches issues that may impact future provider negotiations or jeopardize network retention.
Required Qualifications
Requires a Bachelor's degree and a minimum of 5 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.
Preferred Qualifications
Previous LTSS experience is very strongly preferred.
Experience with LTSS provider contracting and credentialing is a huge plus.
You must have very strong verbal and written communication skills.
Previous Medicaid or LTSS claims experience is helpful.
Strong attention to detail is very important in this role.
Job Level:
Non-Management ExemptWorkshift:
1st Shift (United States of America)Job Family:
PND > Provider Relationship Account MgmtPlease be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, 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.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
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. Applicants who require accommodation to participate in the job application process may contact for assistance.
