Regional Network Manager

Elevance Health•Rocky Hill, CT

6d•Hybrid

About The Position

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. 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. 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.

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.

Nice To Haves

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.

Responsibilities

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.