Provider Relations Specialist

BCBS Global Solutions; King of Prussia (PA); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Hybrid work model

Travel opportunities

Paid parental leave

401(k) with company match

Well-being program

Telemedicine available

Competitive medical plans

Employee assistance

Job summary

BCBS Global Solutions in King of Prussia, PA, seeks a Provider Relations Specialist to grow our international network of providers. You will manage relationships with contracted doctors and hospitals, create provider profiles, verify information, and support international contracting discussions.

The role requires a Bachelor's degree, multilingual abilities, and excellent communication skills. Travel and a hybrid work environment are part of the position.

Qualifications

• Bachelor’s degree or equivalent professional work experience.
• Fluency in one or more foreign languages such as Portuguese, German, Japanese, or Italian.
• Ability to work independently and as part of a team.
• Excellent written and verbal communication skills.
• Experience with international travel or expatriate assignments preferred.
• Knowledge of health insurance terminology is a plus.
• Familiarity with Salesforce and SharePoint is a plus.
• Strong attention to detail in a high-volume environment.
• Internet speed of 75 Mbps or higher required.

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.
• Research and verify credentials on new providers and hospitals for contracting.
• Collaborate with Provider Finance to resolve contracted provider claims issues.
• Support PreTravel reports for VIP clients.
• Other research projects as assigned.
• Other duties as assigned.

Skills

Verbal communication

Written communication

Attention to detail

Independence

Multilingual

Education

Bachelor's degree

Tools

Salesforce

SharePoint

Microsoft Office

Databases

Job description

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
• Telemedicine available
• Paid parental leave
• Employee assistance and wellness support 24/7
• Free international healthcare coverage

Other Great Perks:

• Hybrid work model
• Work abroad arrangements available
• Generous PTO accrual program with carry-over option
• 9 paid holidays in addition to one floating holiday and one volunteer day
• Tuition reimbursement
• 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)