Provider Collaboration Manager Sr. at Elevance Health in Columbia, South Carolina

Job Description:

Provider Collaboration Manager Sr. (JR116200)



Location: This position is part of our Hybrid Workplace Strategy and requires 1 day per week working in the Columbia, South Carolina office.



NOTE: Must Reside within 50 miles / 1 hour commute to our Columbia, SC office.


The Provider Collaboration Manager Sr is responsible for providing operational and administrative support for the implementation, auditing and resolution of loading issues for payment innovation programs. Primary duties may include, but are not limited to:

• Provides support for assigned provider contracts.
  
  


• Manage and oversee the value based program intake process.
  
  


• Obtains and analyzes financial performance quality metrics and reports to providers on the impact to performance.
  
  


• Support and facilitates value based JOCs (Joint Operating Committee meetings).
  
  


• Develops and maintains contact database and disseminates communications to providers 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.
  
  

• 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.
  
  

• Experience/knowledge of Value Based Agreements
  
  


• Experience with Medicaid.
  
  


• Provider environment experience strongly preferred.