WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Elevance Health requires a completed online application for consideration of employment for any position. We will never ask you for a credit card, send you a check, or ask you for payment as part of consideration for employment.

　　Network Management Rep II

　　Job Family: PND > Provider Relationship Account Mgmt

　　Type: Full time

　　Date Posted:Jan 19, 2024

　　Anticipated End Date:Feb 26, 2024

　　Reference: JR102191

　　Location:

　　CA, WOODLAND HILLS

　　NV, LAS VEGAS

　　TN, NASHVILLE

　　MN, MENDOTA HEIGHTS

　　IN, INDIANAPOLIS

　　Description

　　Position Title: Network Management Rep II

　　Location: This position will work a remote model. The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.

　　The Network Management Rep II provides comprehensive services to the provider community through researching more complex provider issues.

　　How you will make an impact:

　　Serves as point of contact for other internal departments regarding provider issues that may impact provider satisfaction.

　　Researches and resolves the more complex provider issues and appeals for prompt resolution.

　　Coordinates prompt claims resolution through direct contact with providers and claims department.

　　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.

　　Responds to provider issues related to billing, pricing, policy, systems and reimbursements. Determines if providers were paid according to contracted terms.

　　Minimum Requirements

　　Requires a H.S. diploma

　　Minimum of 3 years of customer service experience; one year experience as a Network Representative; or any combination of education and experience, which would provide an equivalent background.

　　Preferred Skills, Capabilities and Experiences:

　　This is a call center environment, Call Center Experience is preferred

　　Available to work M-F 10am- 6:30pm CST

　　For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

　　For candidates working in person or remotely in the below locations, the salary* range for this specific position is $27.09 to $42.92

　　Locations: California; Colorado; Nevada; New York; Washington State; Jersey City, NJ

　　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.Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

　　Who We Are

　　Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

　　How We Work

　　At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

　　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.

　　Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

　　The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

　　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 [email protected] for assistance.

　　EEO is the Law

　　Equal Opportunity Employer / Disability / Veteran

　　Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.

　　EEO Policy Statement

　　Know Your Rights

　　Pay Transparency

　　Privacy Notice for California Residents

　　Elevance Health, Inc. is anE-verify Employer (https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf)

　　Need Assistance?

　　Email us ([email protected])