Network Relations Consultant at Elevance Health in Corpus Christi, Texas

Job Description:

Location: Corpus Christi, TX



Hours: Standard M - F



Travel: Field Based Role (travel throughout assigned territory in Texas + occasional office milestone/meetings)



Position Overview:



Develops and maintains positive relationships with providers within a local health plan's LTSS provider network. Researches and resolves operational issues.



How You Will Make an Impact:

• Works with operational departments to address provider grievances and service issues
  
  


• Provides explanations to providers regarding contract compliance, company procedures and policies, etc
  
  


• Recruits, orients and provides high quality service to providers
  
  


• Identifies sufficient number and location of providers to meet area needs
  
  


• Assists providers during contract execution
  
  


• Identifies key opportunities for provider training
  
  


• Conducts virtual and in-person provider visits to support LTSS network
  
  


• Functions as a high level technical resource to resolve or facilitate complex provider issues
  
  


• Develops new provider programs and addresses major issues related to systems, customer service issues, new network implementation, etc
  
  

• Requires a BA/BS degree and a minimum of 3 years' experience as Network Services Specialist or as a Trainer; or any combination of education and experience, which would provide an equivalent background.
  
  

• Experience working with LTSS preferred
  
  


• Experience presenting to leadership and varied audiences preferred
  
  


• Quality background preferred
  
  


• Interpersonal Skills is a must
  
  


• Ability to operate independently strongly preferred