Jobs and Careers
BL
Sr. Provider Relations Representative - CGS
BlueCross BlueShield of South CarolinaUnited Statesfull_timeVerifiedPosted 4 Nov 2024
About the role
Summary
Provides education and training for network providers/staff/suppliers/physicians/beneficiaries/referral agents as necessary. Develops and produces all training and educational materials.
Description
What You’ll Do:
- Develops/prepares/reviews/updates all provider education materials.
- These may include: web-based training, computer-based training, ACT (ask the contractor) calls, outreach presentations/proposals, listserv articles, new highlights, calendar of events, job aids, resource tools, and web page content.
- Conducts/facilitates meetings, workshops, training classes, teleconferences with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents.
- Develops relationships with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents, state/local medical/professional associations.
- Responds to educational needs.
- Acts as liaison between division/above mentioned groups and appropriate state/federal agencies to ensure training needs are met.
- Responds to/resolves problems/issues identified through meetings, workshops, correspondence, etc.
- Performs administrative functions in support of education and training.
- Produces/generates various reports to management and provides feedback on activities to management.
- Contributes/participates/completes special projects as assigned.
- Work environment: Typical office environment. Work may involve some travel between office buildings. Some frequent/out-of-town travel may be required.
To Qualify for This Position, You’ll Need:
- Bachelor's degree OR Four (4) years of job-related work experience OR Four (4) years combined job related education and experience.
- Four (4) years of experience in customer service, claims processing, communications, education/training, provider relations, healthcare or combination. (Can be concurrent)
- Demonstrated skills related to training materials development.
- Demonstrated skills related to classroom presentations to large groups.
- Working knowledge/understanding of government healthcare programs, HIPAA policies, procedures.
- Demonstrated proficiency in word processing, spreadsheet, database software.
- Good judgment skills. Demonstrated proficiency in spelling, punctuation, grammar skills.
- Demonstrated verbal and written communication skills.
- Analytical and critical thinking skills.
- Basic business math proficiency.
- Ability to persuade, negotiate, or influence others.
- Ability to handle confidential or sensitive information with discretion.
- Ability to identify learning objectives.
- Strong course design skills to include use of media/other instructional methods.
- Ability to evaluate progress in addition to actual delivery of training sessions.
- Microsoft Office.
We Prefer That You Have:
- Prior Provider Relations Representative experience.
What Blue Can Do For You:
Our comprehensive benefits package includes:
- 401(k) retirement savings plan with company match
- Subsidized health plans and free vision coverage
Apply for this role
Generate a tailored application kit with a matched cover letter, interview prep, and CV highlights — in under 60 seconds.
Apply Now →Generate Application KitFree account required — sign up in 30s