Summary
 

As a Senior 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 produces 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 we've been part of the national landscape for more than seven decades, 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, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!

Logistics: CGS Administrators, LLC.

Location: This is a full-time Work at Home position. You will work an 8-hour shift scheduled during our normal business hours of 8:00 a.m. - 5:00p.m. Monday - Friday.

What You’ll Do:

• Develops/prepares/reviews/updates all provider education materials.
• These may include: web-based training, computer-based training, ACM (ask the contractor meetings) 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 the Following:

• Required Education: Bachelor's degree OR Four (4) years of job-related work experience OR Four (4) years combined job related education and experience.
• Required Skills and Abilities: 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