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Director of LTSS Provider Relations

Director of LTSS Provider Relations

CompanyElevance Health
LocationMason, OH, USA, Seven Hills, OH, USA, Columbus, OH, USA, Cincinnati, OH, USA
Salary$Not Provided – $Not Provided
TypeFull-Time
DegreesBachelor’s, MBA
Experience LevelSenior

Requirements

  • Requires a BA/BS degree in business or related health field and a minimum of 7 years’ experience; or any combination of education and experience, which would provide an equivalent background.

Responsibilities

  • Develops and implements strategic business plan for all aspects of PN (Provider Network) Operations.
  • Ensures the LTSS provider network has the resources, tools, and supports necessary to deliver high-quality care to members.
  • Participates and supports network development strategies with management staff of each regional market.
  • Leads/manages process re-design.
  • Manages departmental operations and ensures the timely establishment and maintenance of provider files.
  • Manages web development and content of web-based provider directories.
  • Determines resource needs and develops cost estimates for executive management.
  • Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Preferred Qualifications

  • MBA preferred.
  • Applicants with proven expertise in provider contract interpretation and negotiation are strongly preferred.
  • Strong preference for candidates with experience in leading and managing large teams.
  • Experience interfacing and partnering across all lines of businesses.
  • LTSS Provider experience strongly preferred.
  • Exceptional presentation skills with the ability to convey complex information clearly and persuasively.
  • Proficiency in Excel at an intermediate to advanced level is preferred.