21 days old

Provider Relations Services Specialist - Columbus, OH - PS17777

Anthem, Inc.
Columbus, OH 43215
  • Job Code
    PS17777
Anthem, Inc. is the nation's leading health benefits company serving the needs of approximately 40 million medical members nationwide.

Your Talent. Our Vision. AtAnthem, Inc., its a powerful combination, and the foundation upon which were creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we willdrive the future of health care.


This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.


Provider Relations Services Specialist


We have a Provider Relations Services Specialist position open in our8940 Lyra Drive, Columbus, OH 43240 office.


The essential duties to include but are not limited to:

  • Serve as local market expert supporting, and managing the provider contracting and onboarding process, as well as provider updates received within a defined market.
  • Manage provider update files submitted by delegated provider entities and/or large groups/integrated delivery systems. This includes preparing the information for timely and accurate submission to the Provider Data loading team. Support these provider relationships as needed.
  • Work as a liaison with large provider organizations, IPAs, PHOs, hospital physician group administrators, billing companies, and internal Anthem Departments.
  • Oversee and ensure accurate loading of professional rate loads for standard and negotiated contracts
  • Complete special projects as assigned.
  • Research and resolve provider issues and follow up on a timely basis.
  • Assist in auditing provider database to ensure integrity of provider data.
  • Interact with all applicable internal departments to build positive working relationships.
  • Work collaboratively with Network Relations Consultants.
  • Perform other duties as assigned.


Qualifications:
  • Requires H.S. diploma; college level education completed or in progress preferred but not required if candidate demonstrates strong aptitude.
  • Advanced problem-solving skills, and attention to detail required.
  • Health insurance or managed care industry knowledge strongly preferred.
  • Advanced written and oral communication skills required.
  • PC skills required, including MS Office applications such as Word, Excel, PowerPoint and Outlook.
  • Some analytical skills required.
  • Ability to multi-task, prioritize work assignments, and work independently
  • Ability to adapt to change; accountable in team work environment is essential.

Anthem, Inc. is ranked as one of Americas Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran





Posted: 2019-04-29 Expires: 2019-05-28
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Provider Relations Services Specialist - Columbus, OH - PS17777

Anthem, Inc.
Columbus, OH 43215

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