Provider Reimbursement Admin Sr- Behavior Health

Position Title

Provider Reimbursement Admin Sr
- Behavior Health

This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. EST/CST hours only. Alternate locations may be considered if candidates reside within a commuting distance from an office.

• Works with vendors and enterprise teams to develop enterprise reimbursement policies and edits, ensuring policies and edits do not conflict with Federal and state mandates.
• May lead the full range of provider reimbursement activities for a state(s).
• Leads projects related to provider reimbursement initiatives.
• Serves as a mentor to less experienced administrators.

• Requires a BA/BS degree and a minimum of 4 years related experience; or any combination of education and experience, which would provide an equivalent background.

• CPC-Certified Professional Coder strongly preferred.
• Behavioral health background strongly preferred.
• Strong written and verbal skills.
• Strong critical thinking and analytical skills.

Non-Management Exempt

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 contact elevancehealthj for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.