Provider Network Specialist jobs in Indiana

Provider Network Specialist coordinates and evaluates the contracts of a healthcare provider network. Participates in the negotiation of contracts and prepares reports and analysis of contract details and statistics. Being a Provider Network Specialist distributes contract information, status updates, and other information within the organization. Requires a bachelor's degree. Additionally, Provider Network Specialist typically reports to a manager or head of a unit/department. The Provider Network Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Network Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Provider Network Manager
  • Elevance Health
  • Indianapolis, IN FULL_TIME
    • Job Family: PND > Network Contracting
    • Type: Full time
    • Date Posted: Apr 22, 2024
    • Anticipated End Date: May 24, 2024
    • Reference: JR113663

    Description

    Location: Indianapolis, IN

    Hours: M – F Standard Working hours

    Travel: Hybrid (1-2 days onsite) 20% Travel with potential overnight as needed


    Position Overview:

    Directs the activities related to the development and maintenance of the company's Long Term Services and Supports (LTSS) provider delivery system through the provider relations representatives.

    How you will make an impact:

    • Directs the communication and complaint resolution strategies between providers, members, and the public

    • Ensures the LTSS provider network has the resources, tools, and supports necessary to deliver high-quality care to members

    • Represents the Anthem’s LTSS program and provider relations team in various external stakeholders

    • Responsible for budget accountability

    • Hires, trains, coaches, counsels, and evaluates performance of direct reports

    Minimum Requirements:

    • Requires a BA/BS degree in business or related health field and a minimum of 7 years’ experience; or any combination of education and experience, which would provide an equivalent background.

    Preferred Skills, Capabilities and Experiences:

    • Previous management experience preferred

    • LTSS Provider experience preferred

    • Support Coordination/Care Coordination experience a plus.

    • Strong Public Speaking experience preferred

    • Intermediate to Advanced Excel skills preferred



    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 market-competitive 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 1-hour 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/member-facing roles to become vaccinated against COVID-19. 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 elevancehealthjobssupport@elevancehealth.comfor assistance.

  • 1 Day Ago

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Network and Provider Relations Manager
  • CommuniCare Corporate
  • Indianapolis, IN FULL_TIME
  • Network and Provider Relations Manager CommuniCare Advantage, a member of CommuniCare Health Services, is currently recruiting a Network and Provider Relations Manager to support our Medicare Advantag...
  • 9 Days Ago

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Network and Provider Relations Manager
  • CommuniCare Family of Companies
  • Indianapolis, IN FULL_TIME
  • Network and Provider Relations ManagerCommuniCare Advantage, a member of CommuniCare Health Services, is currently recruiting a Network and Provider Relations Manager to support our Medicare Advantage...
  • 10 Days Ago

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Provider Network Manager Sr
  • Elevance Health
  • IN, IN FULL_TIME
  • Description Location: Must live in the state of Indiana. Develops the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting...
  • 2 Months Ago

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Advanced Practice Provider - Urology
  • Franciscan Physician Network
  • Lafayette, IN FULL_TIME
  • Lafayette 3920 Building3920 St. Francis Way Lafayette, Indiana 47905WHO WE ARE LOOKING FOR:Franciscan Physician Network is seeking an Advanced Practice Provider to join our team in Western Indiana to ...
  • 2 Days Ago

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Provider Support Medical Assistant
  • Windrose Health Network Inc
  • Franklin, IN FULL_TIME
  • DescriptionJob descriptionDo you have a passion for serving our patients and our communities by providing high-quality, family-oriented, primary and preventive health care services? Are you looking fo...
  • 6 Days Ago

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Network Engineer
  • Maxar Technologies
  • Westminster, CO
  • Please review the job details below. Maxar Intelligence is a provider of secure, precise, geospatial intelligence. We de...
  • 4/26/2024 12:00:00 AM

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Network Engineer
  • General Dynamics Information Technology
  • GDIT has an exciting opportunity to support U.S. Army Europe and Africa in Wiesbaden Germany as a member of our Enterpri...
  • 4/25/2024 12:00:00 AM

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Network Engineer
  • General Dynamics Information Technology
  • Please take this opportunity to join one of GDIT's fastest long-standing growing programs! US Battlefield Information Co...
  • 4/24/2024 12:00:00 AM

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Network Engineer
  • General Dynamics Information Technology
  • Camp Smith, HI
  • Please take this opportunity to join one of GDIT's fastest long-standing growing programs! US Battlefield Information Co...
  • 4/23/2024 12:00:00 AM

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Network Engineer / Network Technician
  • System One Holdings, LLC
  • Phoenix, AZ
  • Please send me your details (resume, work authorization status, current location, availability and compensation expectat...
  • 4/22/2024 12:00:00 AM

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Network Engineer
  • Govcio LLC
  • Raleigh, NC
  • Overview: GovCIO is currently hiring for a Senior Wi-FI Engineer in Raleigh, NC. This position requires a RCDD certifica...
  • 4/22/2024 12:00:00 AM

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Network Engineer
  • Leidos
  • Albuquerque, NM
  • Description Leidos is seeking a mid-level Network Engineer to join our team. This is an excellent opportunity for someon...
  • 4/17/2024 12:00:00 AM

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Network Engineer
  • Leidos
  • Reston, VA
  • Description Join us at Leidos, where your most important work is ahead! You will enjoy great benefits such as paid time ...
  • 4/3/2024 12:00:00 AM

Indiana /ˌɪndiˈænə/ (listen) is a U.S. state located in the Midwestern and Great Lakes regions of North America. Indiana is the 38th largest by area and the 17th most populous of the 50 United States. Its capital and largest city is Indianapolis. Indiana was admitted to the United States as the 19th U.S. state on December 11, 1816. Indiana borders Lake Michigan to the northwest, Michigan to the north, Ohio to the east, Kentucky to the south and southeast, and Illinois to the west. Before becoming a territory, various indigenous peoples and Native Americans inhabited Indiana for thousands of ye...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$56,711 to $84,784

Provider Network Specialist in Anderson, IN
Creates, maintains, and ensures the integrity of the provider data in DHP’s multiple claims payments systems and provider interface programs.
January 07, 2020
Provider Network Specialist in Tucson, AZ
Identifies and works with the provider to address education needs relative to DHP’s new product lines/expansions, utilization management, claims submission, and back-end issues resolution requirements of each assigned provider’s contract.
January 12, 2020
The Provider Network Specialist will work closely with all facets of the business, primarily with Care Management, Claims and Business Development.
January 08, 2020
Provider Network Specialist in Oakland, CA
Build and maintain a successful working relationship with Integra Managed Care and network providers.
December 03, 2019