Provider Experience Cons (US)
Company: Elevance Health
Posted on: November 25, 2022
**Provider Experience Cons (US)**
+ Job Family: PND > Provider Relationship Account Mgmt
+ Type: Full time
+ Date Posted:Oct 19, 2022
+ Req #: JR30018
+ CA, Cypress
The Provider Experience Coordinator is responsible for providing
quality, accessible and comprehensive service to the company's
+ Develops and maintains positive provider relationships with
provider community via a mixture of email, telephonic and
+ Communicate administrative and programmatic changes,
+ Facilitate education
+ Resolve provider issues.
+ Serves as a knowledge and resource expert regarding provider
issues impacting provider satisfaction
+ Researches and resolves less complex provider issues and appeals
for prompt resolution.
+ Works with internal matrix partners to triage issues and submit
+ Assigned to Tier 2 and 3 providers.
+ Researches, analyzes, and recommends resolution for contract
dispute, non-routine claim issues and billing questions
+ Coordinates communication process on such issues as
administrative and medical policy, reimbursement, and provider
+ Conducts routine outreach to support the understanding of managed
care policies and procedures.
+ Coordinates and conducts provider training including developing
and distributing provider relations materials.
+ Provides assistance regarding Annual Provider Satisfaction
Surveys and required corrective action plan implementation and
+ Monitor education, and non-routine claim issues.
+ Coordinates Provider Manual updates/maintenance.
+ 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.
+ Research issues that may impact future provider negotiations or
jeopardize network retention.
**Must live in CA**
Bachelor's degree; a minimum of 2 years of customer service
experience **_including 1 year of experience in a healthcare or
provider environment;_** or any combination of education and
experience, which would provide an equivalent background. **_**Some
travel may be required._**
Please be advised that Elevance Health only accepts resumes from
agencies that have a signed agreement with Elevance Health.
Accordingly, Elevance Health is not obligated to pay referral fees
to any agency that is not a party to an agreement with Elevance
Health. Thus, any unsolicited resumes, including those submitted to
hiring managers, are deemed to be the property of Elevance
**Be part of an Extraordinary Team**
Elevance Health is a health company dedicated to improving lives
and communities - and making healthcare simpler. Previously known
as Anthem, Inc., we have evolved into a company focused on whole
health and updated our name to better reflect the direction the
company is heading.
We are looking for leaders at all levels of the organization who
are passionate about making an impact on our members and the
communities we serve. You will thrive in a complex and
collaborative environment where you take action and ownership to
solve problems and lead change. Do you want to be part of a larger
purpose and an evolving, high-performance culture that empowers you
to make an impact?
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.
The health of our associates and communities is a top priority for
Elevance Health. We require all new candidates to become vaccinated
against COVID-19. If you are not vaccinated, your offer will be
rescinded unless you provide - and Elevance Health approves - a
valid religious or medical explanation as to why you are not able
to get vaccinated that Elevance Health is able to reasonably
accommodate. Elevance Health will also follow all relevant federal,
state and local laws.
Elevance Health has been named as a Fortune Great Place To Work in
2021, is ranked as one of the 2021 World's Most Admired Companies
among health insurers by Fortune magazine, and a Top 20 Fortune 500
Companies on Diversity and Inclusion. To learn more about our
company and apply, please visit us at careers.ElevanceHealth.com.
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
firstname.lastname@example.org for assistance.
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Equal Opportunity Employer / Disability / Veteran
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+ EEO is the Law Poster
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Keywords: Elevance Health, Cypress , Provider Experience Cons (US), Other , Cypress, California
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