Practitioner Management Coordinator I at Elevance Health

Latham, New York, United States

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Not SpecifiedCompensation

Entry Level & New Grad, Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

High school diploma or equivalent
Minimum of 3 years of experience in credentialing or provider/practice management or related field (or any combination of education and experience providing equivalent background)
Reside within reasonable commuting distance from posting location(s) (Latham, NY or Boston, MA), unless accommodation granted

Responsibilities

Maintain files and electronic records
Communicate with associates, facilities, and other entities to resolve issues
Communicate with hospitals regarding initial or re-appointments, ensuring and coordinating proctoring as needed
Assure all dues and fees are paid timely
Track and process license renewals, including address changes, status changes, and name changes
Research new application requirements, process documents, manage timelines, and generate status reports
Handle CAQH access and updates
Manage Collaborative Agreements
Obtain and process related documents to ensure credentialing, licensing, and (re)appointment activities for Carelon Health employed practitioners are completed in accordance with established protocols and departmental policies and procedures

Skills

credentialing

provider management

licensing

CAQH

document processing

file maintenance

license renewals

status reporting

proctoring coordination

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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