Network Management Rep I, II
Company: Elevance Health
Location: Honolulu
Posted on: January 27, 2023
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Job Description:
**Network Management Rep I, II**+ Job Family: PND > Provider
Relationship Account Mgmt+ Type: Full time+ Date Posted:Jan 03,
2023+ Req #: JR37367**Location:** + MN, Mendota Heights+ National
+50 Miles away from nearest PulsePoint, National +50 Miles away
from nearest PulsePoint**Description**Provides comprehensive
services to the provider community through researching more complex
provider issues. Primary duties may include:+ 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.**Network
Management Rep I** Requirements+ H.S. diploma+ Minimum of 3 years
of customer service experience; or any combination of education and
experience, which would provide an equivalent background.+
Associates in this role are expected to have strong oral, written
and interpersonal communication skills, problem-solving skills,
facilitation skills, and analytical skills.+ Understands the value
of data - clean data drives decisions.+ Microsoft excel
experience**Network Management Rep II** Requirements+ 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.+ Associates in this role are expected to have strong
oral, written and interpersonal communication skills,
problem-solving skills, facilitation skills, and analytical
skills.+ Understands the value of data - clean data drives
decisions.+ Microsoft excel experienceFor candidates working in
person or remotely in the below locations, the salary* range for
this specific position is $16.96/hr. to $40.64/hr. Locations:
California; Colorado; Nevada; Washington State; Jersey City, NJ;
New York City, NY; Ithaca, NY and Westchester County, NYIn 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 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.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 ability@icareerhelp.com for assistance.EEO is the LawEqual
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+ EEO is the Law Poster+ EEO Poster Supplement-English
Version+ Pay Transparency+ Privacy Notice for California Residents
Elevance Health, Inc. is an E-verify Employer Need Assistance?Email
us (elevancehealth@icareerhelp.com) or call 1-877-204-7664
Keywords: Elevance Health, Honolulu , Network Management Rep I, II, Executive , Honolulu, Hawaii
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