Location: This position will work a hybrid model (remote and office). The ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint locations listed on the requisition.
The Network Management Rep provides comprehensive services to the provider community through verification of their demographic data and researching more complex issues regarding provider data accuracy.
How you will make an impact:
Serves as point of contact for other internal departments regarding provider issues that may impact provider Directory and participation status.
Researches and resolves the complex provider issues and inaccuracies for prompt resolution.
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 and ensures timely processing.
Works directly with Providers by making outbound calls to verify demographic information in accordance with each state mandate.
Minimum Requirements:
Requires a H.S. diploma and a minimum of 3 years of customer service experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
Experience in managed care/healthcare insurance industry most notably in provider data is strongly preferred.
Experience and knowledge of data analytics, data management, and process improvement strongly preferred.
Strong analytical, organizational, and problem solving skills strongly preferred.
Excellent written, oral, presentation and interpersonal communication skills with the proven ability to negotiate expectations between multiple parties highly preferred.
Proficient of Microsoft Office products Excel, Teams, Outlook, PowerPoint and Word strongly preferred.
For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $20.80 to $37.15
Locations: California; Colorado; District of Columbia (Washington, DC), Maryland, Nevada; New York; Washington State
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.
