Provider Relationship Account Consultant
Elevance Health
**Location:** Olathe Kansas or Topeka Kansas
**Travel:** Field Based Position (Travel across the state of Kansas to provider sites as needed)
**Position Overview:**
Responsible for providing quality, accessible and comprehensive service to the company's provider community
**How You Will Make an Impact:**
+ Develops and maintains positive provider relationships with provider community via a mixture of email, telephonic and/or face-to-face outreach, by communicating administrative and programmatic changes, facilitating provider education and the resolution of provider issues
+ Collaborates with internal matrix partners to triage issues and submit work requests
+ Generally assigned to a portfolio of providers within a defined cohort
+ Researches, analyzes, and coordinates prompt resolution to provider issues and appeals through direct contact with providers and internal matrixed partners
+ Coordinates communication process on such issues as administrative and medical policy, reimbursement, and provider utilization patterns
+ Conducts routine outreach to support the understanding of managed care policies and procedures, as well as outreach on a variety of initiatives and programs
+ Coordinates and conducts provider training including developing and distributing provider relations materials
+ May assist with Annual Provider Satisfaction Surveys, required corrective action plan implementation and monitoring education and non-routine claim issues
+ May coordinate Provider Manual updates/maintenance
+ 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 contract negotiations or jeopardize network retention
**Required Qualifications:**
+ Requires a 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
**Preferred Qualifications:**
+ Travels to worksite and other locations as necessary
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