Network Relations Specialist MD Market

Anticipated End Date:

2025-09-19

Position Title:

Network Relations Specialist MD Market

Job Description:

Network Relations Specialist MD Market

Location Hybrid 1: 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. Alternate locations may be considered if candidates reside within a commuting distance from an office.

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 Relations Specialist MD Market is responsible for developing and maintaining positive relations with physicians, providers and practice managers within Maryland's local health plan's provider delivery system. Researches and resolves operational issues. 

How you will make an impact:

• Works with MBUs operational departments to address provider grievances and service issues.

• Provides explanations to providers regarding contract compliance, company procedures and policies, etc.

• Recruits, orients and provides high quality service to providers. Participates in the identification of sufficient number and location of providers to meet area needs.

• Assists Contract Management group during contract negotiation by conducting some analysis and obtaining information.

• Develops and enhances training programs for providers.

• Conducts provider seminars and presentations on company networks, business operations, procedures and protocols.

• Functions as a high level technical resource to resolve or facilitate complex provider issues.

• Develops new provider programs and addresses major issues related to systems, customer service issues, new network implementation, etc.

• Instructs, trains, directs and checks the work of others.

Minimum Requirements:

• Requires a BA/BS degree and a minimum of 3 years' experience as Network Services Specialist or as a Trainer; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

• Experience with the State of Maryland provider relations preferred.

• Training development and presentation experience strongly preferred.

• Provider relations, and network contracting experience strongly preferred.

• Medical billing and coding experience preferred.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $55,760 to $92,004.

Locations:  Maryland

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.