Provider Relations Specialist

ADP; King of Prussia (PA); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Generous PTO accrual

9 paid holidays + floating holiday

Career/Learning opportunities

401(k) with company match

Pet insurance

Identity theft & legal coverages

Job summary

Blue Cross Blue Shield Global Solutions SM (BCBS Global Solutions SM) is seeking a Provider Relations Specialist in King of Prussia, PA. The role focuses on expanding the international network of doctors and hospitals, managing provider profiles, and supporting international contracting.

Responsibilities include building provider relationships, creating new provider profiles, verifying information, and assisting with PreTravel reports for VIP clients.

Qualifications

• Bachelor’s degree or equivalent professional work experience.
• Fluency in Portuguese, German, Japanese, or Italian.
• Ability to work independently and as part of a team.
• Basic knowledge of health insurance terminology preferred.
• Significant international travel or expatriate experience preferred.
• Excellent written and verbal communication skills.
• Attention to detail in a fast-paced environment.
• Knowledge of world geography and cultures is preferred.
• Experience with Microsoft Office (Word, Excel), Salesforce, and SharePoint.
• Internet speed of at least 75 Mbps.

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 contracting with international physicians, including discounts and discussions.
• Research and verify credentials for contracting.
• Collaborate with Provider Finance to resolve provider claims issues.
• Support PreTravel research for VIP clients.
• Other duties as assigned.

Skills

Foreign language fluency

Communication skills

Independent + team work

Attention to detail

Environmental knowledge

Education

Bachelor’s degree or equivalent

Tools

Microsoft Office

Salesforce

SharePoint

Databases

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Provider Relations Specialist

Regular Full-Time Administrative King of Prussia, PA, US

3 days ago Requisition ID: 1979

Who we are.

At Blue Cross Blue Shield Global Solutions SM (BCBS Global Solutions SM ), we make it easy for people and organizations to access and pay for healthcare abroad. By combining digital innovation with human-centered care, we go above and beyond for our customers and deliver an international healthcare experience that’s simple, efficient, and human.

Whether our customers live, work, travel or study abroad, we give them the confidence and peace of mind to embrace every journey and say “yes” to new possibilities.

The Provider Relations Specialist maintains and expands the international network of doctors and hospitals, including managing existing contract relationships, contracting with new providers, verifying and updating information in provider profiles and researching qualified healthcare options around the world.

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 and participating in custom agreement discussions.
• Research and verify credentials on new providers and hospitals for contracting.
• Collaborate with Provider Finance colleagues to resolve contracted provider claims issues as necessary.
• Support research and completion of PreTravel reports for VIP clients.
• Other research projects as assigned.
• Other duties as assigned.

Requirements

• Bachelor’s degree or equivalent professional work experience required.
• Fluency in one or more foreign languages required, such as Portuguese, German, Japanese, or Italian.
• Ability to work independently and as part of a team.
• Basic knowledge of health insurance terminology preferred.
• Substantial international travel or expatriate experience preferred.
• Excellent written and verbal communication skills.
• Ability to work in a high-volume work environment while maintaining exceptional attention to detail.
• Knowledge of world geography and other cultures is preferred.
• Familiarity with Microsoft Office (Word, Excel).
• Familiarity with Salesforce and SharePoint a plus.
• Experience with databases a plus.
• Employee is required to have at minimum an internet speed of 75 Mbps (standard high speed internet access).

What you’ll get in return:

• Competitive base pay + annual bonus
• Competitive medical plans
• Paid parental leave
• Employee assistance and wellness support 24/7
• Free international healthcare coverage

Other Great Perks:

• Generous PTO accrual program with carry-over option
• 9 paid holidays in addition to one floating holiday and one volunteer day
• Career/Learning and development opportunities
• 401(k) with generous company match
• Pet insurance offerings
• Identify theft and legal coverages available
• Emphasis on well-being (Virtual well-being platform, monthly mindfulness events, and giveaways)