drjobs Provider Relationship Account Director

Provider Relationship Account Director

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Job Location drjobs

Indianapolis, IN - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Anticipated End Date:

Position Title:

Provider Relationship Account Director

Job Description:

Provider Relationship Account Director

Location: This position will work a hybrid model (remote and office). Must live within 50 miles/1 hour commute of our Indianapolis IN Elevance Health location.

In the role of Provider Relationship Account Director you will be the orchestrator of strong positive relationships with a curated portfolio of providers within our strategic account management cohort. Youll serve as the primary contact guiding and managing relationships postcontract from start to finish. This includes pioneering strategic initiatives with providers operating under complex frameworks such as valuebased payment arrangements and diverse risk contracting strategies alongside other strategic growth.

How you will make an impact:

  • Be an advocate for a portfolio of strategic providers; fully understand their operating /business model and proactively identifies provider needs and recommends ways to improve existing relationships through best practices and manages relationships and provides leadership to dedicated matrixed teams.
  • Conducts regular onsite and/or virtual/digital visits communicates administrative and programmatic changes and facilitates proactive education and the resolution of highly complex provider issues.
  • Serving as a knowledge and resource expert regarding the most complex providers (such as National Large ValueBased and High Performing Providers); research analyzes and coordinates prompt resolution to complex provider issues and appeals through direct contact with providers and internal matrixed partners and strategies for resolution and escalation of issues and barriers to success as required.
  • May be responsible for coordinating nonnegotiated contracts for new and existing providers as needed.
  • Functions as a highlevel technical resource in analyzing what is driving the issues and how to avoid future occurrences Leads Joint Operation Committees (JOC) driving the meetings in the discussion of issues and changes.
  • Coordinates communications process on such issues as administrative and medical policy reimbursement and provider utilization patterns.
  • Identifies and reports on provider utilization patterns which have a direct impact on the qualityofservice delivery.
  • Organizes and executes external Provider Townhalls/Seminars and attend State Association conferences (e.g.: MGMA AFP AAP HFMA).
  • Researches and analyzes issues that may impact future provider contract negotiations or jeopardize network retention.
  • May provide mentorship training guidance to lowerlevel Provider Relationship Account Mgt. staff.
  • Travels to worksite and other locations as necessary.

Minimum Qualifications:

  • Requires a Bachelors degree and a minimum of 5 years of Provider service experience including 3 years experience healthcare or provider environment; or any combination of education and experience which would provide an equivalent background.

Preferred Skills Capabilities and Experiences:

  • Demonstrated experience in provider engagement contract negotiations and provider relations.
  • Exceptional communication skills with the ability to deliver impactful presentations at the Executive level.

Job Level:

Director Equivalent

Workshift:

Job Family:

PND > Provider Relationship Account Mgmt

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes including those submitted to hiring managers are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy power our business outcomes and drive our shared success for our consumers our associates our communities and our business.

We offer a range of marketcompetitive 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.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager associates are required to work at an Elevance Health location at least once per week and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/memberfacing roles to become vaccinated against COVID19 and Influenza. If you are not vaccinated your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal state and local laws.

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 for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws including but not limited to the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.


Required Experience:

Director

Employment Type

Full-Time

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