Provider Partnerships Executive

Blue Cross and Blue Shield of Kansas City; Kansas City (MO); On-site; USD 85,000 - 120,000; Full time

Benefits offered by this job

Total rewards

Annual bonus

PTO

Tuition reimbursement

Parental leave

Adoption leave

Professional development

Employee discounts

Job summary

Blue KC is seeking a Provider Account Executive in the Kansas City metropolitan area to coordinate with provider partners and support value-based payer-provider initiatives. The role acts as the quarterback for the provider-focused teams, ensuring alignment on analytics, contracting, and medical management.

The candidate must reside in the Kansas City metro area. You will build and maintain physician/hospital relationships, resolve escalated issues, and deliver education on BlueKC directives,

Qualifications

• Bachelor’s degree in Business, Health Care or related field
• 5 years of provider relations experience with demonstrated success
• 5 years of experience with claims coding ICD and CPT systems
• 5 years of experience with health insurance plan, Provider Relations or Marketing/Account Management
• Strong verbal and written communication skills
• Strong presentation skills
• Proficient in Microsoft Word, Excel and PowerPoint
• Experience with Benefit Designs, Product Offerings, Contracting and Payment Strategy

Responsibilities

• Build and maintain positive provider relationships focusing on quality care and cost containment
• Facilitate resolution of escalated provider issues
• Liaise with providers regarding contracting issues and payments
• Partner with subject matter experts to address provider comments and concerns
• Develop and deliver provider education on directives, policies and programs
• Lead in-person provider visits and capture follow-up actions
• Collaborate with internal teams for provider value-added solutions
• Present performance data to providers and discuss improvement opportunities

Skills

Provider relations experience

Verbal communication

Written communication

Presentation skills

Microsoft Office

Education

Bachelor’s degree in Business/Health Care or related field

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Job description

Blue KC is seeking a Provider Account Executive in the Kansas City metropolitan area to coordinate with provider partners and support value-based payer-provider initiatives. The role acts as the quarterback for the provider-focused teams, ensuring alignment on analytics, contracting, and medical management.

The candidate must reside in the Kansas City metro area. You will build and maintain physician/hospital relationships, resolve escalated issues, and deliver education on BlueKC directives,