LTSS Network Relations Specialist

Anticipated End Date:

2025-09-19

Position Title:

LTSS Network Relations Specialist

Job Description:

Location: Seven Hills OH

Hours: M – F Standard Working hours

Travel: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.

Position Overview:

Develops and maintains positive relationships with providers within a local health plan's LTSS/HCBS provider network. Researches and resolves operational issues.

How You Will Make an Impact:

• Works with 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

• Identifies sufficient number and location of providers to meet area needs

• Acts as a liaison to support contract execution

• Identifies key opportunities for provider training

• Conducts virtual and in-person provider visits to support LTSS network

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

• Addresses major issues related to systems, customer service issues, new network implementation, etc

Required Qualifications:

• 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 Qualifications:

• Experience working with LTSS and or Waiver populations preferred

• Experience presenting to leadership and varied audiences preferred

• Experience with provider relations preferred

• Quality background preferred

• Interpersonal Skills is a must

• Ability to operate independently strongly preferred

Job Level:

Non-Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

PND > Provider Relationship Account Mgmt

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 recei