Anticipated End Date:

2025-11-28

Position Title:

Network Relations Consultant Manager

Job Description:

LTSS Network Relations Consultant Manager

Location: We are currently seeking people in the following counties and look forward to speaking with you! (Durand, Mondovi, Arcadia, Black River Falls, Neillsville, La Crosse, Sparta, Mauston, Viroqua, Baraboo Richland Center, Prairie du Chien, Platteville, Dodgeville, Darlington, Monroe, Milwaukee)

Field: 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.

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 LTSS Network Relations Consultant Manager is responsible for supporting the daily operations and coordination of the LTSS provider relations team for the Wisconsin Family Care program. .

How you will make an impact:

As a knowledge and resource expert, handles escalated LTSS and Family Care provider issues impacting provider satisfaction, researches and resolves the most complex provider issues for prompt resolution.
Acts as a liaison between Family Care providers and the health plan within a designated region.
Identifies deficiencies in LTSS provider engagement and contract compliance and recommends corrective actions.
Identifies and reports on provider utilization and service delivery trends which have a direct impact on the quality of service delivery.
Ensures Network Relations Consultants are meeting provider training, outreach and visit requirements.
Attends provider meetings and Family Care oversight sessions as needed.
Monitors department key performance indicators, provider assignments, and team caseload distribution.
Oversees daily activities and provides feedback to leadership on performance management, training needs, guidance, and workflow improvements.
Leads and facilitates regular team huddles and collaboration sessions.
Serves as subject matter expert who may be assigned to specific initiatives or projects related to Family Care program network operations.

Minimum Requirements:

Requires a Bachelor's degree and a minimum of 7 years of network relations and leadership experience; or any combination of education and experience, which would provide an equivalent background. Travels to worksite and other locations as necessary.

Preferred Skills, Capabilities and Experiences:

Experience with Wisconsin Family Care, IRIS, or other LTSS waiver programs strongly preferred.
Knowledge of Medicaid managed care regulations, provider contracting, and compliance standards.
Strong analytical, problem-solving, and communication skills with the ability to foster collaboration across teams.

Job Level:

Non-Management Exempt

Workshift:

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 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 elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.