Summary
 

As a Sr. Provider Relations Representative, you will provide education and training for network providers/staff/suppliers/physicians/beneficiaries/referral agents as necessary. You will also develop and produce all training and educational materials.

Description
 

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we have been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina and much more. We are one of the nation’s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are committed to the same philosophy, consider joining our team!

Here is your opportunity to join a dynamic team at a diverse company with secure, community roots and an innovative future.

Logistics:

This is a Work at Home (W@H) position. The hours are 8:00 a.m. – 5:00 p.m. Monday – Friday.

What You'll Do:

• Develop/prepare/review/update 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. Conduct/facilitate meetings, workshops, training classes, teleconferences with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents.
• Develop relationships with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents, state/local medical/professional associations.
• Respond to educational needs.
• Act as liaison between division/above mentioned groups and appropriate state/federal agencies to ensure training needs are met.
• Respond to/resolves problems/issues identified through meetings, workshops, correspondence, etc.
• Perform administrative functions in support of education and training. Produce/generate various reports to management and provides feedback on activities to management.
• Contribute/participate/complete/special projects as assigned.
   

To Qualify for This Position, You'll Need:

• Bachelor's Degree OR 4 years job related work experience OR associate's and 2 years job related work experience.
• 4 years of experience in customer service, claims processing, communications, education/training, provider relations, healthcare or combination.
• 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 instruc