Provider Reimbursement Manager- Behavior Health -Coding

Position Title: Provider Reimbursement Manager- Behavior Health - Coding 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. EST/CST hours only. 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. Eligibility: This position is not eligible for employment-based sponsorship. Responsibilities Leads policy development for specific plan(s) and/or the development and implementation of behavioral health reimbursement policy rules. Works with 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 region's 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 that provides an equivalent background. Preferred Skills, Capabilities and Experience CPC – Certified Professional Coder strongly preferred. MBA or other equivalent advanced degree strongly preferred. Strong behavioral health background preferred. Strong critical thinking and analytical skills. Understanding of pricing methodologies preferred. Strong written and verbal communications. Benefits 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. EEO Statement 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. #J-18808-Ljbffr