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Provider Operations Manager- AmeriBen

  • Job Family: PND > Provider Relationship Account Mgmt
  • Type: Full time
  • Date Posted:
  • Anticipated End Date:
  • Reference: JR116306

Location:

  • GA, COLUMBUS
  • CA, WOODLAND HILLS
  • CA, COSTA MESA
  • CT, WALLINGFORD
  • IN, INDIANAPOLIS
  • OH, DUBLIN
  • OH, CINCINNATI
  • OH, MASON
  • VA, RICHMOND
  • OH, SEVEN HILLS
  • KY, LOUISVILLE
  • ID, MERIDIAN
  • ID, MERIDIAN
  • CO, DENVER
  • NY, NEW YORK
  • NV, LAS VEGAS
  • TX, GRAND PRAIRIE
  • IL, CHICAGO
  • GA, ATLANTA
  • NY, LATHAM
  • FL, TAMPA
  • NV, LAS VEGAS
  • MN, MENDOTA HEIGHTS

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Description

Provider Operations Manager- AmeriBen

Location : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Columbus, GA Elevance Health PulsePoint location.

AmeriBen is a proud member of the Elevance Health family of companies. We are a third-party administrator (TPA) of medical benefits, also providing medical management, human resource consulting and retirement benefits administration services.

The Provider Operations Manager is responsible for developing, executing and delivering operational readiness plans for provider experience strategic initiatives.

How you will make an impact:

  • Leads the standardization of operational readiness plans for provider experience initiatives and mentors team members.
  • Coordinates the development and delivery of required training to support the needs of the project team and operational/production users.
  • Facilitates development and delivery of job aids for production operational users.
  • Monitors overall impact to Provider Experience Key Performance Indicators to identify and facilitate changes.
  • Manages pre and post implementation claims audits to identify and facilitate changes to provider experience processes.
  • Provides subject matter expertise support for projects and Small Systems Change Requests delivery.
  • Leads and defines standards for provider experience business applications.
  • Identifies, leads and/or participates in targeted continuous improvement activities.

Minimum Requirements:

Requires a BA/BS degree in Business or related field and a minimum of 5 years within a healthcare organization supporting operations, provider or claims including experience with delivery of business systems and/or process improvement; minimum of 5 years of provider experience business disciplines within provider experience (provider call center, pricing, provider demographics); or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

  • Prior experience in Provider Contract management highly preferred.
  • Prior experience in healthcare insurance highly preferred.
  • Previous experience in healthcare insurance implementation highly preferred.
  • Experience in system/software implementation for the purpose of automation preferred.
  • Ability to build strong relationships preferred.
  • Effective oral and written communication skills as well as the ability to communicate at all levels of an organization is strongly preferred.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $84,252 to $ 144,432

Locations:  California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJ

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company.  The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.


 

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.

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