Remote Provider Relations Specialist (AZ)

Blue Cross Blue Shield of Arizona; Phoenix (AZ); Remote; USD 55,000 - 75,000; Full time

Job summary

Blue Cross Blue Shield of Arizona is seeking a Provider Relations Coordinator to serve as the primary contact for contracted providers and resolve provider issues efficiently.

You will educate networks across Medicaid, Medicare and Commercial lines, plan visits and trainings, and coordinate ongoing provider education while maintaining strong relationships with internal teams. This is a remote role within Arizona.

Qualifications

• 1 year of experience in Healthcare field (Applies to All Levels)
• High-School Diploma or GED in field of study (Applies to All Levels)
• Valid Arizona Driver License (required only for employees who reside in Arizona), with an acceptable driving record (Applies to All Levels)

Responsibilities

• Establish and maintain positive working relationships with contracted providers, staff and internal departments
• Plans, implements and coordinates initial and ongoing provider education of professional/ancillary/hospital networks contracted for all BCBSAZ lines of business
• Facilitates the resolution of provider inquiries and issues
• Responds timely to provider calls and emails. Works with internal departments to resolve provider issues.
• Conduct and document provider visits with roster reconciliation, scorecards, quality reporting and CMS-aligned requirements; onsite visits monthly for staff
• Attend monthly onsite staff meetings and other required meetings in person
• Provide training and onboarding to new team members; coach and lead as needed
• Identify efficiency opportunities and oversee assigned projects; support escalation handling

Education

High-School Diploma or GED

Associate's Degree in field of study

Job description

Blue Cross Blue Shield of Arizona is seeking a Provider Relations Coordinator to serve as the primary contact for contracted providers and resolve provider issues efficiently.

You will educate networks across Medicaid, Medicare and Commercial lines, plan visits and trainings, and coordinate ongoing provider education while maintaining strong relationships with internal teams. This is a remote role within Arizona.