Director of LTSS Provider Relations
Company | Elevance Health |
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Location | Mason, OH, USA, Seven Hills, OH, USA, Columbus, OH, USA, Cincinnati, OH, USA |
Salary | $Not Provided – $Not Provided |
Type | Full-Time |
Degrees | Bachelor’s, MBA |
Experience Level | Senior |
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.