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Manager, Network Management (LTSS Networks)
Preferred Location: Iowa. This position is hybrid and will require the associate to report to the West Des Moines, Iowa office locations at least 1-2 times per week. The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations within the state of Iowa.
The Manager, Network Management (LTSS Networks) will spearhead the LTSS (Long-Term Support Services) provider network team, steering key initiatives to drive excellence in provider relations and service delivery. This pivotal role requires an individual with an intricate understanding of Iowa's LTSS providers and programs, focused on cultivating robust partnerships that align with organizational goals and enhance network performance. This leader will strategize and implement action plans for provider relations and servicing, ensuring compliance with contractual obligations, optimizing provider resources, and fostering enduring relationships to enhance care quality and financial outcomes across the network. Manages LTSS provider network servicing associates within a specialized LTSS provider network team, focusing on sustaining effective provider representative and specialty roles in the LTSS domain.
How will you make an impact:
Develops and implements strategic action plans for all aspects of LTSS provider network servicing, ensuring high-quality care delivery.
Leads and manages LTSS provider relations processes and strategies, balancing budgetary constraints while optimizing provider service delivery.
Establishes and nurtures positive, long-term relationships with state entities, key provider groups, and LTSS/HCBS providers to promote provider retention and enhance performance metrics.
Supports LTSS network development strategies in collaboration with the local LTSS strategy leadership and enterprise LTSS center of excellence management.
Manages operations, ensuring accurate establishment and maintenance of provider data, and reviews performance reports to guide strategic improvements.
Directly participates in state meetings and maintains active communication with key providers and provider associations, ensuring compliance with provider relations mandates.
Engages in setting and tracking team key performance indicators (KPIs) and strategic goals in alignment with organizational standards.
Works collaboratively with local and enterprise teams on various operational aspects, including provider call center management, communication strategies, and disputed resolutions.
Minimum Requirements:
Preferred Skills, Capabilities and Experiences :
Extensive experience in provider contract interpretations is strongly preferred.
Strong preference for candidates with experience in leading and managing teams.
Experience interfacing and partnering across all lines of businesses.
LTSS Provider experience strongly preferred.
Exceptional presentation skills with the ability to convey complex information clearly and persuasively.
Proficiency in Excel at an intermediate to advanced level is 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 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 elevancehealthjobssupport@elevancehealth.com 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.