Network Data Specialist

Overview

Anticipated End Date:

Position Title: Network Data Specialist

Job Description: Network Data Specialist

Hybrid : 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.

Bio Plus Specialty Pharmacy is now part of Carelon Rx (formerly Ingenio Rx), and a proud member of the Elevance Health family of companies. Together, Carelon Rx and Bio Plus offer consumers and providers an unparalleled level of service that’s easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer’s treatment journey.

• The Network Data Specialist is responsible for accurate and timely maintenance of provider information on claims and provider databases.
• Assists in synchronization of data among multiple claims systems and application of business rules as they apply to each database.
• Validates the data to be housed on provider databases and ensuring adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.
• Makes recommendations for improvements to meet customers' expectations.

• Requires a H.S. diploma or equivalent; basic PC office software; or any combination of education and experience, which would provide an equivalent background.

• 1-3 years experience in claims processing, provider, or credentialing strongly preferred.

For candidates working in person or virtually in the below location(s), the salary range for this specific position is $17.81 - $28.06

Location: New York

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.

Job Level: Non-Management Non-Exempt

Job Family: PND >
Data Mgmt

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