Global Provider Relations & Contracting Specialist

BCBS Global Solutions; King of Prussia (PA); Hybrid; USD 70,000 - 95,000; Full time

Benefits offered by this job

Hybrid work model

Travel opportunities

Paid parental leave

401(k) with company match

Well-being program

Telemedicine available

Competitive medical plans

Employee assistance

Job summary

BCBS Global Solutions in King of Prussia, PA, seeks a Provider Relations Specialist to grow our international network of providers. You will manage relationships with contracted doctors and hospitals, create provider profiles, verify information, and support international contracting discussions.

The role requires a Bachelor's degree, multilingual abilities, and excellent communication skills. Travel and a hybrid work environment are part of the position.

Qualifications

• Bachelor’s degree or equivalent professional work experience.
• Fluency in one or more foreign languages such as Portuguese, German, Japanese, or Italian.
• Ability to work independently and as part of a team.
• Excellent written and verbal communication skills.
• Experience with international travel or expatriate assignments preferred.
• Knowledge of health insurance terminology is a plus.
• Familiarity with Salesforce and SharePoint is a plus.
• Strong attention to detail in a high-volume environment.
• Internet speed of 75 Mbps or higher required.

Responsibilities

• Manage relationships with contracted providers, including training and problem resolution.
• Build relationships with contracted doctors and hospitals.
• Create profiles for new providers.
• Verify and update information on profiled doctors and hospitals.
• Support the contracting process with international doctors and hospitals, including securing discounts.
• Research and verify credentials on new providers and hospitals for contracting.
• Collaborate with Provider Finance to resolve contracted provider claims issues.
• Support PreTravel reports for VIP clients.
• Other research projects as assigned.
• Other duties as assigned.

Skills

Verbal communication

Written communication

Attention to detail

Independence

Multilingual

Education

Bachelor's degree

Tools

Salesforce

SharePoint

Microsoft Office

Databases

Job description

BCBS Global Solutions in King of Prussia, PA, seeks a Provider Relations Specialist to grow our international network of providers. You will manage relationships with contracted doctors and hospitals, create provider profiles, verify information, and support international contracting discussions.

The role requires a Bachelor's degree, multilingual abilities, and excellent communication skills. Travel and a hybrid work environment are part of the position.