Provider Relationship Account Consultant at Elevance Health in Indianapolis, Indiana

Job Description:

Location: Indianapolis, IN




Hours: Monday - Friday




Travel: Hybrid (1-2 days onsite per week)




Position Overview:



Responsible for providing quality, accessible and comprehensive service to the company's provider community.



How You Will Make an Impact:

• Develops and maintains positive provider relationships with provider community via a mixture of email, telephonic and/or face-to-face outreach, by communicating administrative and programmatic changes, facilitating provider education and the resolution of provider issues
  
  


• Collaborates with internal matrix partners to triage issues and submit work requests
  
  


• Generally assigned to a portfolio of providers within a defined cohort
  
  


• Researches, analyzes, and coordinates prompt resolution to provider issues and appeals through direct contact with providers and internal matrixed partners
  
  


• Coordinates communication process on such issues as administrative and medical policy, reimbursement, and provider utilization patterns
  
  


• Conducts routine outreach to support the understanding of managed care policies and procedures, as well as outreach on a variety of initiatives and programs
  
  


• Coordinates and conducts provider training including developing and distributing provider relations materials
  
  


• May assist with Annual Provider Satisfaction Surveys, required corrective action plan implementation and monitoring education and non-routine claim issues
  
  


• May coordinate Provider Manual updates/maintenance
  
  


• Identifies and reports on provider utilization patterns which have a direct impact on the quality-of-service delivery
  
  


• Research issues that may impact future provider contract negotiations or jeopardize network retention
  
  

• Requires a bachelor's degree; a minimum of 2 years of customer service experience including 1 year of experience in a healthcare or provider environment; or any combination of education and experience, which would provide an equivalent background.
  
  

• Excellent problem solving and analytical skills is a must
  
  


• Experience with Medicare, Medicaid, and or commercial experience preferred
  
  


• Attention to detail is a must