Provider Relationship Account Consultant

Anticipated End Date:

Position Title: Provider Relationship Account Consultant

Location:

Overland Park KS, Topeka KS, Wichita KS

Hours:

M — F Standard Working hours

Travel:
This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands‑on engagement.

Responsible for providing quality, accessible and comprehensive service to the company’s provider community. Develops and maintains positive provider relationships with the provider community via a mixture of email, telephonic and/or face-to-face outreach, by communicating administrative and programmatic changes, facilitating provider education and the resolution of provider issues.

• Collaborates with internal matrix partners to triage issues and submit work requests
• Generally assigned to a portfolio of providers within a defined cohort
• Researches, analyzes, and coordinates prompt resolution to provider issues and appeals through direct contact with providers and internal matrixed partners
• Coordinates communication process on such issues as administrative and medical policy, reimbursement, and provider utilization patterns
• Conducts routine outreach to support the understanding of managed care policies and procedures, as well as outreach on a variety of initiatives and programs
• Coordinates and conducts provider training, including developing and distributing provider relations materials
• May assist with Annual Provider Satisfaction Surveys, required corrective action plan implementation and monitoring education and non-routine claim issues
• May coordinate Provider Manual updates/maintenance
• Identifies and reports on provider utilization patterns which have a direct impact on the quality-of-service delivery
• Research issues that may impact future provider contract negotiations or jeopardize network retention

• Requires a bachelor’s degree; a minimum of 2 years of customer service experience including 1 year of experience in a healthcare or provider environment; or any combination of education and experience, which would provide an equivalent background.

• Travel to worksite and other locations as necessary
• Claims experience is strongly preferred
• Kansas Medicaid regulatory knowledge strongly preferred
• Kansas Provider specific experience preferred
• Provider Servicing experience strongly preferred

Job Level: Non‑Management Exempt

Workshift: 1st Shift (United States of America)

Job Family: PND Provider Relationship Account Mgmt

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 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.