Managed Care Analyst (Payor Contracting)

A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug therapies through our specialty pharmacies, our infusion centers, and the home setting.

Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Plano, Texas PulsePoint location.

The Risk Management Analyst is responsible for supporting the department regarding all aspects of the corporate insurance program.

How you will make an impact:

Primary duties may include but are not limited to:

• Gathers, coordinates, and maintains the exposure/underwriting information for applicable insurance renewals.
• Performs department invoice and related accounting functions including analysis reporting.
• Maintains the departmental insurance policy library.
• Maintains, tracks, and renews Surety bond portfolio. Produces loss control reports as needed. Reports and tracks all P&C claims.
• Provides claims bordereau to brokers and carriers.
• Acts as a liaison between Legal and CRM department coordinating claims/lawsuits reporting and tracking.
• Acts as a central contact to the carrier on covered claim events and litigation, and gathers and reports claim information to carrier.  

Minimum Requirements:

• Requires a BA/BS; or any combination of education and experience, which would provide an equivalent background.
• Minimum of 3 years of experience in business insurance or risk management preferred.

Preferred Skills, Capabilities and Experiences:

• Paralegal degree preferred.
• Prior infusion and/or specialty pharmacy experience 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.com for assistance.