LTSS Network Relations Consultant at Elevance Health in Los Angeles, California

Posted in Other 14 days ago.





Job Description:

Location: Woodland Hills CA, Costa Mesa CA, Palo Alto CA, Walnut Creek CA



Hours: Standard M - F



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



Position Overview:



Develops and maintains positive relationships with providers within a local health plan's LTSS/CalAIM 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





Required Qualifications:





  • 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.





Preferred Qualifications:





  • Experience working with LTSS/CalAIM preferred


  • Experience presenting to leadership and varied audiences preferred


  • Quality background preferred


  • Interpersonal Skills is a must


  • Ability to operate independently strongly preferred




For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $59,040 to $ 106,272


Location(s): California


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.
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