Network Relations Consultant Manager (NC Medicaid Alliance Operations) - PS28878 at Anthem, Inc.

Posted in Management 28 days ago.

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Type: Full-Time
Location: Cary, North Carolina





Job Description:

Anthem is the nation's leading health benefits company serving the needs of approximately 28 million medical members nationwide.

Your Talent. Our Vision. At Healthy Blue, a strategic alliance of Blue Cross NC and Amerigroup, an Anthem Inc. company, 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 will drive the future of health care.


 

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

 

Network Relations Consultant Manager

Cary, NC Anthem office

  


  • Responsible for supporting the day-to-day overseeing of the Network Relations Consultants.

  • As a knowledge and resource expert, handles escalated provider issues impacting provider satisfaction, researches and resolves the most complex provider issues and appeals for prompt resolution.

  • Identifies deficiencies and recommends corrective actions.

  • Identifies and reports on provider utilization patterns which have a direct impact on the quality of service delivery. 

  • Ensures Network Relations Consultants are meeting provider visit requirements.

  • Attends provider meetings as needed. Monitors department metrics, provider assignments.

  • Oversees daily activities and provides feedback to manager on performance management, day-to-day training, guidance, and workflow.

  • Leads and facilitates team meetings.

  • Serves as subject matter expert who may be assigned major projects within the department.

Requires a Bachelor's degree; 7 years of network relations and leadership experience; or any combination of education and experience, which would provide an equivalent background. Some travel may be required.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.