Anticipated End Date:2026-10-02
Position Title:Regional Network Manager
Job Description:Location: 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.
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 accommodation is granted as required by law.
The
Regional Network Manager is responsible for generating process improvements that bring about measurable improvement in quality and/or efficiency. Contributes to achieve department's objectives by serving as key contact for researching and implementing solutions and tools for new systems and other key operational improvements, provide guidance to leads, operations experts, associates, and/or managers on process improvement issues.
How you'll make a difference:- Represents the department on process improvement teams, special projects and implementation of new technology.
- Lead role in coordinating annual review/revision of procedures.
- Leads the training of associates when new processes or procedures are implemented.
- Communicates process information and facilitates workgroups to ensure accurate and consistent workload reporting.
- Review /analyze monthly workload reports to ensure goals are on-target (timeliness, backlog) across all operational sites. Identify areas of concern & implement corrective plans if necessary.
- Uses reports and production statistics to represent unit(s) in departmental process improvement and system changes and provides specialized input on reports to management.
- Travels to worksite and other locations as necessary.
Minimum Requirements:- Requires a BA/BS in a related field and minimum of 5 years related experience; or any combination of education and experience, which would provide an equivalent background.
Preferred skills, qualifications and experiences:- RN, Certified Project Manger or Certified Professional Coder preferred.
- Previous experience in high-volume operations (Medical Review, Appeals, Claims, Customer Service) strongly preferred.
- Demonstrate ability to analyze existing and potential workflows, processes, supporting systems, and procedures and identifying improvements strongly preferred.
- Excellent oral, written and interpersonal communication skills, strong analytical, organizational, planning, problem solving and project/decision facilitation skills strongly preferred.
- Masters level education preferred
- License in Behavioral Health related field strongly desired.
Job Level:Non-Management Exempt
Workshift:1st Shift (United States of America)
Job Family:BSP > Process Improvement
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.
NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words - the job is posted until 3/13, not through 3/13.
