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Network Relations Specialist (3 Available) - Elevance Health
Company | Elevance Health |
Address | Morristown, NJ, United States |
Employment type | FULL_TIME |
Salary | |
Category | Hospitals and Health Care |
Expires | 2023-06-27 |
Posted at | 10 months ago |
Network Relations Specialist (3 available)
- Type: Full time
- Req #: JR67186
- Date Posted:May 19, 2023
- Job Family: PND > Provider Relationship Account Mgmt
- NJ, ISELIN
- New Jersey, New Jersey
- Works with MBUs operational departments to address provider grievances and service issues.
- Develops new provider programs and addresses major issues related to systems, customer service issues, new network implementation, etc.
- Conducts provider seminars and presentations on company networks, business operations, procedures and protocols.
- Assists Contract Management group during contract negotiation by conducting some analysis and obtaining information.
- Develops and enhances training programs for providers.
- Participates in the identification of sufficient number and location of providers to meet area needs.
- Functions as a high level technical resource to resolve or facilitate complex provider issues.
- Provides explanations to providers regarding contract compliance, company procedures and policies, etc.
- Recruits, orients and provides high quality service to providers.
- Instructs, trains, directs and checks the work of others.
- Requires a BA/BS degree and a minimum of 3 years experience as Network Services Specialist or as a Trainer; or any combination of education and experience, which would provide an equivalent background.
- Experience presenting in groups of varying sizes.
- Experience working closely with providers both individually and in groups to develop strategies that make a positive impact.
- Experience with MS Office, particularly PowerPoint and Excel.
- Strong Medicaid LTSS claims experience.
- 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.
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