Description
Location: Arkansas- Little Rock or surrounding region
Hours: M- F
Travel: May be required in state
Position Overview:
VBP Network Relations Consultant Sr within the LTSS provider relations team will be responsible for collaborating with MSPP VBP leadership on the development of VBP methodologies for home and community-based services, as well as providers of other Medicaid covered services to ensure that the organization is responsive to the needs and opportunities in each market.
How You Will Make an Impact:
-
Participates in all Payment Innovation VBP workgroups for assigned market and actively contribute to program development
-
Manages the provider recruiting and program onboarding processes
-
Communicates all program updates and changes to performance measures and reporting requirements from year to year
-
Ensures program LOAs and Program Descriptions are completed and manages the CMAP/State approval process
-
Develops and maintains positive provider relationships with provider community by regular on-site visits, communicating administrative and programmatic changes, and facilitating, education and the resolution of provider issues
-
Serving as a knowledge and resource expert regarding the most complex provider issues impacting provider satisfaction, researches and resolves the most complex provider issues and appeals for prompt resolution
-
Functions as a high level technical resource to resolve or facilitate complex provider issues
-
Identifies and reports on provider utilization patterns which have a direct impact on the quality of service delivery
-
Tracks and conduct provider refresher training
-
Researches issues that may impact future provider negotiations or jeopardize network retention
Required Qualifications:
-
Requires a Bachelor's degree and a minimum of 5 years of customer service experience including 2 years experience as a Network Management Rep; or any combination of education and experience, which would provide an equivalent background
Preferred Qualifications:
-
IDD experience is a must
-
Personal care experience strongly preferred
-
Arkansas Medicaid/PASSE Experience strongly preferred
-
Managed care/value based experience preferred
Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Be part of an Extraordinary Team
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
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.
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 – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health has been named as a Fortune Great Place To Work in 2022, has been ranked for five years running as one of the 2023 World’s Most Admired Companies by Fortune magazine, and is a growing Top 20 Fortune 500 Company. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. 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 ability@icareerhelp.com for assistance.