Elevance Health · 13 hours ago
Provider Relationship Account Manager Sr
IN-INDIANAPOLIS, 220 VIRGINIA AVE
Full-time
Hybrid
Senior Level
5+ years expElevance Health is a health company dedicated to improving lives and communities. The Provider Relationship Account Manager Sr is responsible for providing quality service to the provider community, developing and maintaining positive relationships, and resolving complex provider issues.
Health CareHealth InsurancePersonal HealthWellness
Responsibilities
Serves as a knowledge and resource expert regarding complex provider issues impacting provider satisfaction; research, analyzes, and coordinates prompt resolution to complex provider issues and appeals through direct contact with providers and internal matrixed partners
Collaborates within a cohort of internal matrix partners to triage issues and submit work requests
Generally, is assigned to a portfolio of providers within a defined cohort
Coordinates Joint Operation Committees (JOC) of provider groups, driving the meetings in the discussion of issues and changes
May assist with Annual Provider Satisfaction Surveys, required corrective action plan implementation and monitoring education, contract questions and non-routine claim issues
Coordinates communications process on such issues as administrative and medical policy, reimbursement and provider utilization patterns
Conducts proactive outreach to support the understanding of managed care policies and procedures, as well as on a variety of initiatives and programs
Identifies and reports on provider utilization patterns which have a direct impact on the quality-of-service delivery
Organizes and executes external Provider Town Halls/Seminars and attends State Association conferences (e.g.: MGMA, AFP, AAP, HFMA)
Research complex issues that may impact future provider contract negotiations or jeopardize network retention
May be responsible for monitoring department metrics, provider assignments and oversight of daily activities and provide feedback to manager on performance management, day-to-day training, guidance, and workflow of Provider Relationship Account Mgt
Qualification
Required
Requires a bachelor's degree; a minimum of 5 years of customer service experience including 2 years of experience in a healthcare or provider environment; or any combination of education and experience, which would provide an equivalent background
Preferred
Travels to worksite and other locations as necessary
Experience with commercial, Medicaid, and Medicare preferred
Claim Experience preferred
Provider facing experience strongly preferred
Experience communicating and collaborating across multi departmental initiatives
Experience with SPS and WGS systems is a nice to have
Benefits
Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical
Dental
Vision
Short and long term disability benefits
401(k) +match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources
Company
Elevance Health
Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
unknown2001-10-30IPO
Leadership Team
Gail K. Boudreaux
President and CEO
Geeta Wilson
Chief Technology Officer (CTO): Digital Health and Service Experience Platforms
Recent News
2026-01-23
2026-01-16
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