Provider Relations Representative - Medicare Advantage

Blue Cross Blue Shield of Wyoming; Cheyenne (WY); Hybrid; USD 42,000 - 56,000; Full time

Benefits offered by this job

Health insurance

Competitive pay

Annual merit increases

Performance-based incentives

Paid time off and holidays

Volunteer hours

Dress for Your Day

Job summary

Blue Cross Blue Shield Wyoming is seeking a Medicare Advantage Provider Relations Representative to support providers, answer questions, and research issues. You will use multiple systems to respond and elevate when needed.

The role emphasizes service excellence, teamwork, and community-focused care. Based in Wyoming, you will join a compassionate, service‑oriented team and help deliver best-in-class provider experience, with on‑the‑job training and opportunities for growth.

Qualifications

• Minimum qualification is a High School diploma or equivalent.
• Experience with accessing multiple database systems is helpful.
• Willingness to learn our products and services and provide provider support.

Responsibilities

• Handle provider questions, research issues, and connect them with resources.
• Respond to inquiries via multiple systems and escalate when needed.
• Serve as a brand ambassador and support a best‑in‑class provider experience.

Skills

Customer service

Phone support

Communication skills

Education

High School diploma or equivalent

Tools

Database systems

CRM systems

Job description

Deep Roots. Solid Growth. Caring People. Rooted in Wyoming! We are Blue Cross Blue Shield Wyoming: a not-for-profit health insurer with offices throughout the state. Ever since a small group of caring, persistent Wyoming women helped us put down roots in 1945, everything we do is aimed at better health care for the people of Wyoming. Our Vision: We envision a future where integrity, compassion, and trust define a local health insurance experience. Committed to doing the right thing for our members, employees, and community, we strive to protect and contribute to the health and care of all we serve. Our Mission: provide our members with access to local health insurance solutions that prioritize health, care, and well-being for those who call Wyoming home. If our passion and purpose resonate with you, you may be who we are looking for.

The role we are looking to fill: Provider Relations Representative. As a Medicare Advantage Provider Relations Representative with the BCBSWY Provider Relations Team, you will play an essential role in ensuring best-in-class service to our providers. Are you ready to showcase your customer service skills in an organization recognized within the industry for providing superior provider experience? By stepping into a Medicare Advantage Provider Relations Representative role, you will have the opportunity to make a positive difference every day! Help providers by responding to questions, researching issues they may have, connecting them with the resources they may need. Our Provider Relations representatives are equipped with the necessary tools and support to answer provider questions. Our Provider Relations Representatives are provided breaks and meal-times to ensure time to step away, while enabling the team to provide continuous high-quality service. As a recognized BCBSWY employee, we count on you to positively serve in the role of “Brand Ambassador” within the local community and/or geographical region. To your friends and neighbors - you ARE Blue Cross Blue Shield Wyoming! To be successful in this role, you will need to invest in learning our products and services, be dedicated to provider service, handle phone contact with providers and their office staff who may be experiencing a variety of situations, be comfortable accessing and utilizing multiple systems to respond and research provider inquiries and apply solid judgement as to when to elevate if needed.

Minimum qualifications include an earned High School diploma or equivalent; prior experience with accessing multiple database systems is helpful. As a new Provider Relations Representative, you will be provided on-the-job training on our systems, products, and services. You will learn from skilled co-workers and dedicated leadership! With BCBSWY Provider Relations - you are a part of a caring team.

BCBSWY Employees Enjoy:

• Best-In-Class Health Insurance at minimal to no-cost for BCBSWY employees!
• PLUS many other benefits along with highly competitive compensation! Our compensation program is reviewed for competitive market match on an annual basis and employees are eligible for annual merit increases.
• Monthly incentives that are based on individual and company performance are also available to eligible employees and members of our Sales Team can realize generous performance-based commissions.
• At BCBSWY our employees are provided best-in-class benefits to support their physical, financial, and emotional wellness.
• These benefits include medical, dental, vision, 401(k), life insurance, paid time off (PTO), 10 paid holidays in addition to PTO annually, plus 8 paid volunteer hours, various wellness programs, and a dress code of "Dress for Your Day!" which can mean jeans every day (depending on your role).

Serving Those Who Call Wyoming Home. Our positions are all based in Wyoming. Depending on the department and the position, eligible employees may be offered limited In-Office/WFH flexibility (for those positions that are offered limited WFH, there will be a required number of In-Office days per week/month depending on department). Executive level employees are required to reside full-time in Wyoming.

Our Selection Process:

1. Review of your completed application and any additional submitted materials (e.g., cover letter, certifications, etc.) for minimum qualifications and skills alignment.
2. Confirmation of Wyoming residency, intent to become a Wyoming resident, or reasonable commuter distance if Colorado resident.
3. Recruiter Phone Screen.
4. Possible Self-Assessment and/or Questionnaire.
5. Initial interview with Hiring Manager.
6. Possible 2nd Interview with Hiring Manager and/or additional Team members.
7. Comprehensive Background Check.

BCBSWY is an Equal Opportunity Employer. We do not discriminate based on race, color, religion, national origin, sex, age, disability, genetic information, or any other status protected by law or regulation. Qualified applicants are provided with an equal opportunity and selection decisions are based on job-related factors. We use E-Verify to confirm employment eligibility; we DO NOT sponsor applicants for work visas. BCBSWY is committed to the full inclusion of all qualified individuals. As part of this commitment, we will ensure that persons with disabilities are provided reasonable accommodations for the application, selection, and hiring process. If reasonable accommodation is needed, please contact: [e-mail]

Working at Blue Cross Blue Shield of Wyoming | Great Place To Work® Rooted in Wyoming, Blue Cross Blue Shield Wyoming (BCBSWY) is a not-for-profit health insurer with offices throughout the state. Are you interested in joining the largest, most experienced insurer in Wyoming? If you are committed to excellent service above all else, you could be a great fit for an opportunity with BCBSWY. Introduce Yourself and be the first in line for new jobs opportunities.

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BCBSWY is an Equal Opportunity Employer. We do not discriminate based on race, color, religion, national origin, sex, age, disability, genetic information, or any other status protected by law or regulation. Qualified applicants are provided with an equal opportunity and selection decisions are based on job-related factors. We use E-Verify to confirm employment eligibility; we DO NOT sponsor applicants for work visas. BCBSWY is committed to the full inclusion of all qualified individuals. As part of this commitment, we will ensure that persons with disabilities are provided reasonable accommodations for the hiring process. If reasonable accommodation is needed, please contact: [e-mail]

Equal Opportunity is the Law

• EEO is the Law
• Supplement IER
• Right to Work
• FMLA
• E-Verify
• Pay Transparency