Provider Reimbursement Policy Manager- Patient Safety

Skip to main contentWe care about your privacyBy clicking "Accept All", you agree to the storing of cookies on your device to give you the most optimal experience using our website. We may also use cookies to enhance performance, analyze site usage and to personalize your experience.Read Full Privacy MessageDeclineAccept CookiesCareers at Elevance HealthEnglishSign InProvider Reimbursement Policy Manager- Patient Safety page is loadedProvider Reimbursement Policy Manager- Patient SafetyApplylocationsIN-INDIANAPOLIS, 220 VIRGINIA AVEGA-ATLANTA, 740 W PEACHTREE ST NWKS-OVERLAND PARK, 5901 COLLEGE BLVD STE 315KY-LOUISVILLE, 3195 TERRA CROSSING BLVD, STE 202, 204, 300, 302, 304 & 306FL-TAMPA, 5411 SKYCENTER DR, STE 700 & 800View All 11 Locationstime typeFull timeposted onPosted 6 Days Agotime left to applyEnd Date: July 31, 2026 (9 days left to apply)job requisition idJR196731Anticipated End Date:2026-07-31Position Title:Provider Reimbursement Policy Manager- Patient SafetyJob Description:Location: Indianapolis IN, Tampa FL, Atlanta GA, Columbus GA, Overland Park KS, Louisville KY, St. Louis MO, Richmond VA, Grand Prairie TX, Mason OH, Wilmington DEHours: Standard Working hoursTravel: 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.Position Overview: The Provider Reimbursement Manager is responsible for managing key components of the provider reimbursement strategy and policy. Ensures accurate adjudication of claims, by translating various complex coding, business and billing rules and standards into effective and accurate reimbursement policies. Serves as subject matter expert regarding reimbursement policies, edits, behavioral health standards, billing, and coding conventions.How you will make an impact:Leads policy development for specific plan(s) and/or the development and implementation of behavioral health reimbursement policy rules.Works with the multiple business areas to ensure that accurate cost of care targets are incorporated into the company's financial plans.Performs and/or directs complex research to ensure that projected changes meet corporate cost targets.Prepares and presents cost of care data analysis to support the regions cost of care initiatives.Develops and maintains the provider reimbursement policies that will lower the cost of care, improve service, and reduce administrative expenses.Manages special projects and initiatives.Minimum Requirements:Requires a BA/BS degree in a related field and a minimum of 7 years reimbursement experience including performing detailed financial modeling and economic analyses; or any combination of education and experience, which would provide an equivalent background.Preferred Skills, Capabilities and Experience:CPC -Certified Professional Coder strongly preferredRN/Clinical background PreferredPatient Safety Experience preferredUnderstanding of pricing methodologies preferred including working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.Strong research and analysis experience preferredStrong written and verbal communicationsFor candidates working in person or virtually in the below location(s), the salary* range for this specific position is $80,940 to $134,190Locations: VirginiaIn addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive...