Position Title: Provider Data Analyst Senior ( Network Management Consult Senior) Job Description: Please Note: This role is Remote, to be worked in the state of Louisiana Serves as technical resource, trainer and mentor to other consultants and contracting staff members. Provides provider relations and/or network management consulting support to complex, and/or large high profile provider organizations. How you will make an impact Primary duties may include, but are not limited to: • Provides guidance regarding resolution of issues that require the intervention of the Provider Engagement and Contracting Department. • Identifies and facilitates process improvement projects to improve network provider's experience, to reduce provider abrasion and to reduce costs. • Serves on inter-departmental committees and project teams to assist with root cause analysis of provider issues, and communicates positive outcomes/solutions to provider issues/concerns. • Develops and maintains policies and procedures and provides training to team members. • Acts as department lead in manager's absence. • Develops and maintains positive relationships with the provider community by conducting routine and issue-based on-site visits, communicating administrative or programmatic changes and facilitating the resolution of provider issues. • Researches, analyzes and recommends resolution for contract and reimbursement disputes, non-routine claim issues, billing questions and other practices. • Conducts seminars to support the understanding of managed care and BCBS policies and procedures. • Assists with network recruitment and retention strategies to ensure the retention and maintenance of high quality contracted providers. • Participates in large and/or complex network expansion efforts to recruit new physician specialties or large physician groups. Qualifications: • Requires a BA/BS degree in business, health administration or related field • Minimum of 5 years of experience in provider network management, utilization management or related health care field (Or) • Any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: • Prior/Current experience working with FACETS • Exceptional experience with MS Excel. • Experience with relational databases and knowledge of query tools and statistical software. • Ability to manipulate large sets of data. • Exceptional analytical, organizational, presentation, and problem solving skills. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: PND > Provider Relationship Account Mgmt 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 World’s 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. 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 World’s 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. Elevance 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.