Network Data Specialist Senior
Company: Elevance Health
Location: Lansing
Posted on: August 6, 2022
|
|
Job Description:
Network Data Specialist Senior + Location: National +50 Miles
away from nearest PulsePoint, National +50 Miles away from nearest
PulsePoint + Job Family: PND > Data Mgmt + Type: Full time +
Date Posted:Jul 12, 2022 + Req #: PS72449 Description Build the
Possibilities. Make an extraordinary impact. + Location: Anywhere
in the state of Florida + This position will be primarily work from
home but may require attendence in a local Elevance Health office
occasionally as needed. How you will make an impact: Responsible
for accurate, timely maintenance of complex provider information
and synchronization of data on all claims and provider databases
including expertise on business requirements for multiple business
regions. Primary duties may include, but are not limited to: +
Leads the department in problem identification, analysis, and
resolution for multiple system provider database issues. +
Participates in system testing and analysis in support of new
functionality, new system processes, and business rules changes. +
Validates the data to be housed on provider databases and ensure
adherence to business and system requirements of customers as it
pertains to contracting, network management and credentialing. +
Researches and resolves complex exceptions and error reports,
determine regional/cap/business indicators for multiple business
areas to assure accurate reimbursement based on provider contract
and area fee schedules. + Determines training needs and train less
experienced associates and outside customers on multiple provider
data base systems and business requirements. + Audits for
functional and business applications, and report accuracy
standards. Minimum Requirements: + High school diploma or GED
equivalent + Minimum of 3 years Provider Database Representative
experience; or any combination of education and experience, which
would provide an equivalent background. Preferred Skills,
Capabilities and Experiences: + Medicaid 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. Previously known as Anthem, Inc., we have
evolved into a company focused on whole health and updated our name
to better reflect the direction the company is heading. 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 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 2021, is ranked as one of
the 2021 World's Most Admired Companies among health insurers by
Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity
and Inclusion. To learn more about our company and apply, please
visit us at careers.ElevanceHealthinc.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 contactability@icareerhelp.comfor assistance. EEO is
the LawEqual Opportunity Employer / Disability / Veteran Please use
the links below to review statements of protection from
discrimination under Federal law for job applicants and employees.
+ EEO Policy Statement + EEO is the Law Postero + EEO Poster
Supplement-English Version + Pay Transparency + Privacy Notice for
California Residents Elevance Health, Inc. is an E-verify Employer
Need Assistance?Email us (elevancehealth@icareerhelp.com) or call
1-877-204-7664
Keywords: Elevance Health, Lansing , Network Data Specialist Senior, Other , Lansing, Michigan
Click
here to apply!
|