Network Relations Consult (contract) Position Available In Shelby, Tennessee

Network Relations Consult (contract) Elevance Health – 3.6 Memphis, TN Job Details Contract $26.31 – $37.07 an hour 9 hours ago Benefits Health savings account Disability insurance Health insurance Dental insurance 401(k) Vision insurance Life insurance Qualifications Management Managed care Customer service Mid-level Driver’s License Bachelor’s degree Network management 2 years

Full Job Description Job ID:

JP00045684

Anticipated Start Date:

July 14, 2025 Please note this is the target date and is subject to change. Mindlance will send official notice ahead of a confirmed start date. Primary duties may include, but are not limited to: Develops and maintains positive provider relationships with provider community by regular on-site visits, communicating administrative and programmatic changes, and facilitating, education and the resolution of provider issues. Serving as a knowledge and resource expert regarding provider issues impacting provider satisfaction, researches and resolves complex provider issues and appeals for prompt resolution. May be responsible for coordinating non-negotiated contracts for new and existing providers as needed. Researches, analyzes and recommends resolution for contract dispute, non-routine claim issues, billing questions and other practices. May participation in Joint Operation Committees (JOC) of larger provider groups. Coordinates communication process on such issues as administrative and medical policy, reimbursement and provider utilization patterns. Conducts seminars to support the understanding of managed care policies and procedures. Identifies network access and deficiencies and develops recruitment and contracting strategies. Coordinates and conducts provider training including developing and distributing provider relations materials. Responsible for providing quality, accessible and comprehensive service to the company’s provider community. Provide assistance regarding education, contract questions and non-routine claim issues. Coordinates communications process on such issues as administrative and medical policy, reimbursement and provider utilization patterns. Coordinates prompt claims resolution through direct contact with providers, claims, pricing and medical management department. Identifies and reports on provider utilization patterns which have a direct impact on the quality of service delivery. Tracks and conduct provider refresher training. Researches issues that may impact future provider negotiations or jeopardize network retention.

Requirements :

Requires a Bachelor’s degree and a minimum of 3 years of customer service experience including 2 years experience as a Network Management Rep; or any combination of education and experience, which would provide an equivalent background. Travels to worksite and other locations as necessary.

Job Type:

Contract Additional Details:

Applicant must have valid driver’s license, auto insurance, and be able to travel to meet job requirements. Positions are located in Memphis/West Region. Virtual (primarily work from home; will be expected to come onsite for onboarding, training, or as otherwise required by Managers) Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, contractors 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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

About Mindlance:

Founded in 1999, Mindlance is a certified diversity business and has been on the Staffing Industry Analysts list of Fastest-Growing US Staffing Firms twelve times. As a top-performing partner to leading workforce programs, Mindlance is known for delivering consistently high-quality tech first talent solutions. Our strong processes help clients build agile and diverse workforces, while creating an ease of onboarding and service to our consultants. Mindlance provides specialized staffing solutions across the Healthcare industry and associated skill domains. Headquartered in Union, NJ with presence in over 40 key locations across US, Canada and India, servicing 200+ global clients and 5000+ consultants. Our services include Direct Sourcing, Global EoR & AoR, Payroll, Returnship, and Recruit-Train-Deploy solutions. With over $400 million in annual revenue, our success is rooted in a mind ful commitment to ba lance in work, from which our name is derived. Mindlance is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability. To learn more about how Mindlance collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. Mindlance will only use this information to complete the recruitment process. This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration. Pay Rate Range Min Pay Rate Max Pay Rate Currency Unit 26.31 37.07 USD hourly Additional Notes Compensation is discussed with Mindlance, the employer, upon a job offer. The pay offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. Benefits Information Mindlance offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k. 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 . This does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.). 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.