Manager Provider Relationship Account Management_
Memphis
Manager Provider Relationship Acct Management (JR119417)
**Location:** This is part of our Hybrid 1 Workforce Strategy. Requires 1 – 2 days/week in the local office. Must reside within 50 miles and 1 hour commute to an Elevance Health Main office.
+ This position also requires up to 50% field work in Tennessee.
The **Manager Provider Relationship Account Management** oversees the Provider Relationship Account Mgt. team responsible for the development and maintenance of the company's physician and provider delivery system through positive provider relationships. Primary duties may include but are not limited to:
+ Manages and oversees processes to ensure provider account teams/cohorts are sufficiently staffed and trained in providing timely issue resolution, provider education/orientation, evaluation of network adequacy and recruitment into the provider network.
+ Manages the workflow of the provider relationship account team and has budget accountability.
+ Acts as a liaison to ensure that all internal matrix partners and external stakeholders are effectively informed.
+ Monitors team activities to assure staff meets performance standards and is operating effectively and efficiently; resolves escalated issues.
+ Hires, trains, coaches, counsels, and evaluates performance of direct reports.
**Minimum Requirements:**
+ BS/BA degree in business or related health field and a minimum of 3 years of provider relations experience; 3 years leadership/management experience; or any combination of education and experience, which would provide an equivalent background.
**Preferred Qualifications:**
+ Provider Relations or Provider-facing experience.
+ Strong understanding of health insurance claims process.
+ Salesforce and Facets proficiency a plus.
+ Knowledge of Medicaid and Medicare preferred.
+ Good Presentation skills.