Talent.com
Network Management Representative

Network Management Representative

Elevance HealthSt Paul, MN, United States
job_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Network Management Representative I

Location : 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.

Please note that per our policy on hybrid / virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Network Management Representative provides comprehensive services to the provider community through researching more complex provider issues.

How you will make an impact :

Serves as a point of contact for other internal departments regarding provider issues that may impact provider satisfaction.

Researches and resolves the complex provider issues and appeals for prompt resolution.

Coordinates prompt claims resolution through direct contact with providers and claims department.

May perform periodic provider on-site visits.

Provides assistance with policy interpretation.

Research analyzes and recommends resolution of provider disputes, issues with billing, and other practices.

Assists providers with provider demographic changes as appropriate.

Responds to provider issues related to billing, pricing, policy, systems and reimbursements.

Identifies and reports on provider utilization patterns which have a direct impact on quality-of-service delivery.

Determines if providers were paid according to contracted terms.

Minimum Requirements

  • Requires a H.S. diploma or equivalent and a minimum of 3 years of customer service experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Experience, Skills, and Capabilities

  • Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills strongly preferred.
  • For candidates working in person or virtually in the below location(s), the salary

  • range for this specific position is $21.79 to $34.18.
  • Locations : California; Minnesota.

    In 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 Company's sole discretion, consistent with the law.
  • Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

    Who We Are

    Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

    How We Work

    At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

    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.

    Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

    The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient / member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

    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 elevancehealthjobssupport@elevancehealth.com 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.

    serp_jobs.job_alerts.create_a_job

    Network Management • St Paul, MN, United States

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Principal Network Development Engineer

    Principal Network Development Engineer

    OracleSt Paul, MN, United States
    serp_jobs.job_card.full_time
    The AI2NE Org strives to be global leaders in the RDMA cluster networking domain and enable seamless, accelerated High-Performance Compute (HPC), Artificial Intelligence and Machine Learning advanc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Provider Network Specialist

    Provider Network Specialist

    VirtualVocationsMinneapolis, Minnesota, United States
    serp_jobs.job_card.full_time
    A company is looking for a Specialist in Provider Network Search.Key Responsibilities Recruit and onboard mental health professionals to expand the global provider network Review provider applic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Senior Networking Solutions Architect

    Senior Networking Solutions Architect

    VirtualVocationsMinneapolis, Minnesota, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Solutions Architect - Networking.Key Responsibilities Build AI / HPC infrastructure for large CSP customers and their end-users Support operational and reliabilit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Technical Project Manager - Network

    Technical Project Manager - Network

    VirtualVocationsSaint Paul, Minnesota, United States
    serp_jobs.job_card.full_time
    A company is looking for a Network & Cloud Infrastructure Project Manager.Key Responsibilities Lead end-to-end project delivery for network infrastructure modernization and cloud networking initi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Network Planner

    Network Planner

    OracleSt Paul, MN, United States
    serp_jobs.job_card.full_time
    Interfaces with development and supplier stakeholders to provide materials and components for company product supply chain. Provides direction and specialist knowledge in supply chain strategies for...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.new
    Senior Network Engineer - 2313231 - 2313231 Job at UnitedHealth Group in Eden Pr

    Senior Network Engineer - 2313231 - 2313231 Job at UnitedHealth Group in Eden Pr

    MediabistroEden Prairie, MN, United States
    serp_jobs.job_card.full_time
    Senior Network Engineer - 2313231.LOCATION : 1 Optum Circle, Eden Prairie, MN 55344 (Telecommuting available from anywhere in the U. Design and implement computer and information networks, such as LA...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Network Service Team Lead

    Network Service Team Lead

    VirtualVocationsMinneapolis, Minnesota, United States
    serp_jobs.job_card.full_time
    A company is looking for a Team Lead, Network Service.Key Responsibilities Contact a minimum of 10 service providers daily to gather feedback Document challenges and opportunities from providers...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Network Architect

    Network Architect

    VirtualVocationsSaint Paul, Minnesota, United States
    serp_jobs.job_card.full_time
    A company is looking for a Network Architect to support the design, development, and implementation of enterprise network solutions. Key Responsibilities Provide technical expertise and support to...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Senior Network Architect

    Senior Network Architect

    VirtualVocationsMinneapolis, Minnesota, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Network Architect who will design and implement secure and efficient network solutions. Key Responsibilities Develop physical and logical network designs to ensur...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Senior Network Administrator

    Senior Network Administrator

    VirtualVocationsSaint Paul, Minnesota, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Network Administrator to support the US Courts in a remote position.Key Responsibilities Maintain and administer computer networks and related computing environm...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Senior Network Firewall Manager

    Senior Network Firewall Manager

    VirtualVocationsSaint Paul, Minnesota, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Manager of Network Firewall.Key Responsibilities Lead and mentor a team of firewall engineers to promote a high-performance culture Manage and optimize firewall...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Network Cloud Engineer

    Network Cloud Engineer

    MedicaMinnetonka, MN, United States
    serp_jobs.job_card.full_time
    Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Principal Network Reliability Engineer (REMOTE OCI - NRE)

    Principal Network Reliability Engineer (REMOTE OCI - NRE)

    OracleSt Paul, MN, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    The Oracle Cloud Infrastructure (OCI) delivers mission-critical applications for top tier enterprises around the world.Our cloud offers unmatched hyper-scale, multi-tenant services deployed in more...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Director of Network Strategy

    Director of Network Strategy

    VirtualVocationsSaint Paul, Minnesota, United States
    serp_jobs.job_card.full_time
    A company is looking for a Director, Network Strategy.Key Responsibilities Conduct research and analyses to develop network constructs that support strategic initiatives Collaborate with busines...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    Network Infrastructure Architect

    Network Infrastructure Architect

    Mitchell Hamline School of LawSt Paul, MN, USA
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    The Network Infrastructure Architect is responsible to design, build and maintain the Local and Wide Area Network including servers, routers, gateways, switches, as well as administrative support a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Principal Network Developer Engineer

    Principal Network Developer Engineer

    OracleSt Paul, MN, United States
    serp_jobs.job_card.full_time
    This role is for a Principal Network Development Engineer (NDE) in the datacenter design and development organization.Your focus will be on the architecture and support of cutting-edge datacenter n...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Senior Network Planner - Colocation

    Senior Network Planner - Colocation

    OracleSt Paul, MN, United States
    serp_jobs.job_card.full_time
    This role will be responsible for performing global analytics and conducting market research in targeted metros and regions, developing network collocation opportunities, determining market rates, ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Network Developer 3

    Network Developer 3

    OracleSt Paul, MN, United States
    serp_jobs.job_card.full_time
    Supports the design, deployment, and operations of a large-scale global Oracle cloud computing environment (Oracle Cloud Infrastructure - OCI). Primarily focused on development and support of networ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Lead Network Architect

    Lead Network Architect

    VirtualVocationsSaint Paul, Minnesota, United States
    serp_jobs.job_card.full_time
    A company is looking for a Lead Network Architect.Key Responsibilities Develop detailed physical designs for network system integration with the enterprise Create logical designs to optimize net...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Senior Wireless Network Engineer

    Senior Wireless Network Engineer

    VirtualVocationsMinneapolis, Minnesota, United States
    serp_jobs.job_card.full_time
    A company is looking for a Lead Wireless Network Engineer - Juniper Mist & Fortinet SME.Key Responsibilities Lead architecture, deployment, and optimization of Juniper Mist wireless systems Supe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30