Provider Reimbursement Manager
Company: Elevance Health
Location: Walnut Creek
Posted on: January 26, 2023
Job Description:
Provider Reimbursement Manager
- Job Family: Digital and Technology
- Type: Full time
- Date Posted:Dec 06, 2022
- Req #: JR33803Location:
- MA, Andover
- Texas, Texas
- Virginia, Virginia
- Florida, Florida
- Illinois, Illinois
- Washington, Washington
- New Hampshire, New Hampshire
- New York, New York
- California, CaliforniaDescriptionWork Location: RemotePrimary
duties may include, but are not limited to:
- Assists with operationalizing standard and complex payment
methodologies
- Works across regions to maintain and submit standard and
non-standard provider payment fee schedule for both regulatory and
commercial business.
- Leads fee schedule development for specific plan(s) and/or the
development and implementation of provider payment editing
rules.
- Performs and/or directs complex fee modeling exercises to
ensure that projected unit reimbursement changes meet required
payment models. Provides analytical support for hospital and
physician negotiations.
- Manages special projects and initiatives.Qualifications
- Requires a BA/BS degree in a related field and a minimum of 5
years reimbursement experience including reimbursement operations,
reimbursement payment policy development, performing detailed
financial modeling and economic analyses; or any combination of
education and experience, which would provide an equivalent
background. CPA, MGA MBA or other equivalent advanced degree
strongly preferred.For candidates working in person or remotely in
the below locations, the salary* range for this specific position
is $82,400 to $148,320Locations: New York City, NY; Ithaca, NY and
Westchester County, NYIn addition to your salary, Elevance Health
offers benefits such as, a comprehensive benefits package,
incentive and recognition programs, equity stock purchase and 401k
contribution (all benefits are subject to eligibility
requirements). The salary offered for this specific position is
based on a number of legitimate, non-discriminatory factors set by
the company. The company is fully committed to ensuring equal pay
opportunities for equal work regardless of gender, race, or any
other category protected by federal, state, and local pay equity
laws .
- The salary range is the range Elevance Health in good faith
believes is the range of possible compensation for this role at the
time of this posting. This range may be modified in the future and
actual compensation may vary from posting based on geographic
location, work experience, education and/or skill level. Even
within the range, the actual compensation will vary depending on
the above factors as well as market/business considerations. No
amount is considered to be wages or compensation until such amount
is earned, vested, and determinable under the terms and conditions
of the applicable policies and plans. The amount and availability
of any bonus, commission, benefits, or any other form of
compensation and benefits that are allocable to a particular
employee remains in the Company's sole discretion unless and until
paid and may be modified at the Companys sole discretion,
consistent with the law.Please be advised that Elevance Health only
accepts resumes from agencies that have a signed agreement with
Elevance Health. Accordingly, Elevance Health is not obligated to
pay referral fees to any agency that is not a party to an agreement
with Elevance Health. Thus, any unsolicited resumes, including
those submitted to hiring managers, are deemed to be the property
of Elevance Health.Be part of an Extraordinary TeamElevance Health
is a health company dedicated to improving lives and communities
and making healthcare simpler. Previously known as Anthem, Inc., we
have evolved into a company focused on whole health and updated our
name to better reflect the direction the company is heading.We are
looking for leaders at all levels of the organization who are
passionate about making an impact on our members and the
communities we serve. You will thrive in a complex and
collaborative environment where you take action and ownership to
solve problems and lead change. Do you want to be part of a larger
purpose and an evolving, high-performance culture that empowers you
to make an impact?We offer a range of market-competitive total
rewards that include merit increases, paid holidays, Paid Time Off,
and incentive bonus programs (unless covered by a collective
bargaining agreement), medical, dental, vision, short and long term
disability benefits, 401(k) +match, stock purchase plan, life
insurance, wellness programs and financial education resources, to
name a few.The health of our associates and communities is a top
priority for Elevance Health. We require all new candidates to
become vaccinated against COVID-19. If you are not vaccinated, your
offer will be rescinded unless you provide and Elevance Health
approves a valid religious or medical explanation as to why you are
not able to get vaccinated that Elevance Health is able to
reasonably accommodate. Elevance Health will also follow all
relevant federal, state and local laws.Elevance Health has been
named as a Fortune Great Place To Work in 2021, is ranked as one of
the 2021 Worlds Most Admired Companies among health insurers by
Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity
and Inclusion. To learn more about our company and apply, please
visit us at careers.ElevanceHealth.com. 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 ability@icareerhelp.com for assistance.EEO is
the LawEqual Opportunity Employer / Disability / VeteranPlease use
the links below to review statements of protection from
discrimination under Federal law for job applicants and employees.
- EEO Policy Statement
- EEO is the Law Poster
- EEO Poster Supplement-English Version
- Pay Transparency
- Privacy Notice for California ResidentsElevance Health, Inc. is
an E-verify EmployerNeed Assistance?Email us
(elevancehealth@icareerhelp.com) or call 1-877-204-7664
Keywords: Elevance Health, Walnut Creek , Provider Reimbursement Manager, Executive , Walnut Creek, California
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