Elevance Health Provider Collaboration Mgr Sr in Virginia Beach, Virginia
Provider Collaboration Mgr Sr
Job Family: Digital and Technology
Type: Full time
Date Posted:Jun 20, 2022
Req #: PS73220
Job Title: Provider Collab Manager Sr
Location : Remote
The Provider Collaboration Manager Senior is responsible for providing operational and program management for the contracting, implementation, ,maintenance and issue resolution for value-based programs in Elevance's commercial, Medicare and Medicaid lines of business.
Primary duties may include, but are not limited to:
Provides contract and program support for assigned program participants to advance participant success.
Manage and oversee the value based program intake process.
Obtains, analyzes and communicates financial, quality, utilization, risk and trend information to assist providers in understanding and positively impacting program performance and reimbursement.
Support and facilitates value based JOCs (Joint Operating Committee meetings).
Disseminates communications to providers on a variety of local and corporate-based program information as necessary.
Aggregate and analyze provider data from various sources to recommend and implement solutions to assist with provider collaboration activities.
Collaborates with provider contractors and network relations reps to meet provider service needs. Encourages providers to act on patient outreach opportunities.
Drives value-based contract discussions to execution and communicates subsequent contract changes via amendments as necessary.
Requires a BA/BS degree a minimum of 5 years’ experience in data base maintenance related to health care; or any combination of education and experience, which would provide an equivalent background.
Provider environment experience strongly preferred.
Provider facing experience strongly preferred.
Working knowledge of PIMS, PCMS and RIM preferred.
Working knowledge of Excel, Word, and PowerPoint preferred.
Experience with Commercial, Medicare and Medicaid plans preferred
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 Health.
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.ElevanceHealthinc.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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