Provider Experience Consultant

bcbsms; Flowood (MS); On-site; USD 55,000 - 75,000; Full time

Job summary

Blue Cross & Blue Shield of Mississippi seeks a Provider Experience Consultant to develop and maintain Network Provider relationships across the state and to identify quality improvements for Member services.

The role entails creating trainings for providers, leading education and monitoring of value-based programming, and analyzing provider feedback to enhance the overall experience. Occasional travel within Mississippi may be required.

Qualifications

• Bachelor's degree in Business or Healthcare Administration or related field.
• Master's degree preferred.
• At least one year experience in provider relations or a provider office setting.
• Ability to present and speak publicly.
• Ability to communicate effectively at all levels of an organization.
• Strong knowledge of Microsoft Office Suite.
• Excellent verbal and written communication skills with providers.

Responsibilities

• Develop and maintain Network Provider relationships across the state.
• Develop trainings to educate Network Providers to better serve Members.
• Lead education and monitoring of value-based programs.
• Analyze data related to Network Providers' inquiries, service utilization and claim filing.
• Target, schedule and train Network Providers and ancillary staff within clinics/health systems.
• Gather and respond to Network Provider feedback to improve the provider experience.
• Participate in recruiting and monitoring Provider participation in corporate value-based programs.

Skills

Public speaking

Communication

Microsoft Office

Verbal and written communication

Education

Bachelor's degree in Business or Healthcare Administration

Master's degree (preferred)

Tools

Microsoft Office Suite

Job description

Healthy Careers Start Here

The Provider Experience Consultant is responsible for developing and maintaining Network Provider relationships across the state through identifying quality improvements for Contact Blue inquiries received, developing trainings to educate Network Providers to better serve Members and leading education and monitoring of the Company’s value-based programming. The incumbent will use analysis relating to Network Providers Contact Blues, service utilization and claim filing processes to target, schedule and train Network Providers and ancillary staff within clinic and/or health systems to provide a service minded experience for Network Providers. The incumbent will also be responsible for receiving Network Provider feedback to identify opportunities to enhance the overall Network Provider experience. The incumbent will also participate in recruiting and monitoring Network Providers participation in various corporately focused value-based programs.

Job-Specific Requirements:

• Bachelor’s degree in Business or Healthcare Administration or related field.
• Master’s degree preferred.
• At least one year experience in provider relations or a provider office setting required.
• Must possess the ability to present and speak publicly.
• Must possess the aptitude to communicate effectively at all levels of an organization.
• Strong knowledge of Microsoft Office Suite.
• Must have excellent verbal and written communication skills in order to effectively communicate with providers.
• Overnight travel limited to the state of Mississippi may be required.

Blue Cross & Blue Shield of Mississippi is an Equal opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

We offer a comprehensive benefits package that is worth approximately one-third of the salary compensation. Our benefits program is among the best in the health care field. We are looking for employees who can bring their experience, expertise and dedication to work for our customers.