Anthem Network Relations Consultant-Northern, NV (136020) in Evansville, Indiana

/ Your Talent. Our Vision. /* At Anthem, Inc., * it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we willdrive the future of health care.

Develops and maintains positive relationships with providers and develops strategies for recruitment and contracting.

Primary duties may include, but are not limited to:

  • Develops and maintains positive relationships with the provider community by periodic on-site visits, communicating administrative or programmatic changes and facilitating the resolution of provider issues.
  • Recruits providers to build a cost effective, high quality provider network.

  • Conducts negotiations and assistsin contractingefforts with providers to build and maintain a cost effective, accessible provider network.

  • Researches, analyzes and recommends resolution for contract dispute questions and other practices.

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

  • Supports seminars to support the understanding of managed care and Blue Cross and Blue Shield policies and procedures.

  • Identifies network access and deficiencies and develops recruitment and contracting strategies.

  • Coordinates and conducts provider training.

/Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran./

Requires:

  • BA/BS degree; 3 years of related experience (provider relations, network management, customer service, sales-negotiation); Prior provider service or provider network operations experience; or any combination of education and experience, which would provide an equivalent background.
  • Must sit in the Northern part of Nevada

  • Work with providers and contracting experience is preferred

  • Negotiation experience is preferred

Job Provider Network Management

Equal Employment Opportunity Statement Anthem, Inc. will recruit, hire, train and promote persons in all job titles without regard to age, color, disability, gender (including gender identity), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or other status protected by applicable law. In addition, all personnel actions such as compensation, promotion, demotion, benefits, transfers, staff reductions, terminations, reinstatement and rehire, company-sponsored training, education and tuition assistance, and social and recreational programs will be administered in accordance with the principles of equal employment opportunity.

Title: Network Relations Consultant-Northern, NV (136020)

Location: indiana-Evansville

Requisition ID: 136020