Network Relations Specialist
Elevance Health

Job Info

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Location: Des Moines, Iowa

Hours: Standard M - F

Travel: Field Based Role (Traveling around territory as needed)

Position Overview:

Develops and maintains positive relationships with providers within a local health plan's LTSS/HCBS provider network. Researches and resolves operational issues.

How You Will Make an Impact:

• Works with operational departments to address provider grievances and service issues
  
• Provides explanations to providers regarding contract compliance, company procedures and policies, etc
  
• Recruits, orients and provides high quality service to providers
  
• Identifies sufficient number and location of providers to meet area needs
  
• Assists providers during contract execution
  
• Identifies key opportunities for provider training
  
• Conducts virtual and in-person provider visits to support LTSS network
  
• Functions as a high level technical resource to resolve or facilitate complex provider issues
  
• Develops new provider programs and addresses major issues related to systems, customer service issues, new network implementation, etc
  

Required Qualifications:

• 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.
  

Preferred Qualifications:

• Experience working with LTSS and or Waiver populations preferred
  
• Experience presenting to leadership and varied audiences preferred
  
• Quality background preferred
  
• Interpersonal Skills is a must
  
• Ability to operate independently strongly preferred
  

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