Provider Relations Lead - Healthcare Network Strategy

Southcarolinablues; Columbia (SC); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Subsidized health plans

401k retirement savings plan with公司

Life Insurance

Paid Time Off (PTO)

On-site cafeterias and fitness centers

Job summary

BlueCross BlueShield of South Carolina is seeking a Provider Relations Consultant to build and maintain positive relationships with network hospitals, physicians, and dental practices in Columbia, SC. This on-site, full-time role serves as the primary contact for provider issues and coordinates problem resolution.

The position requires five years in healthcare/provider networks, strong communication and presentation skills, and experience with contracts, reimbursement methodologies, and medical

Qualifications

• Bachelor's degree required.
• Five years of healthcare/provider network experience.
• Two years with health plan/payer programs required.
• Strong communication, presentation and problem-solving skills.

Responsibilities

• Serve as point of contact for provider problems/issues.
• Educate providers on all lines of business and policies.
• Create educational materials (webinars, brochures) for providers.
• Conduct training on electronic filing, claims and contract requirements.
• Prepare and submit reports to management.

Skills

Customer service

Organizational skills

Presentation skills

Negotiation

Analytical thinking

Math literacy

Discretion

Leadership

Education

Bachelor's degree

Degree equivalency: 4 years related work experience or 2 years with Associates

Tools

Microsoft Office

Microsoft Access

Job description

BlueCross BlueShield of South Carolina is seeking a Provider Relations Consultant to build and maintain positive relationships with network hospitals, physicians, and dental practices in Columbia, SC. This on-site, full-time role serves as the primary contact for provider issues and coordinates problem resolution.

The position requires five years in healthcare/provider networks, strong communication and presentation skills, and experience with contracts, reimbursement methodologies, and medical