Remote Senior Provider Relations Lead – Behavioral Health

Blue Shield of CA; Springfield Meadows (CA); Híbrido; USD 75.000 - 105.000; Jornada completa

Descripción de la vacante

Blue Shield of California is seeking a Senior Provider Relations Representative to join the Behavioral Health Network Management team. You will help reimagine how we deliver behavioral health services for Commercial, Medicare, and Medi-Cal members, blending provider support, issue resolution, relationship building and administrative coordination to ensure a seamless provider experience.

The role emphasizes leadership development and cross-functional collaboration, with hybrid virtual work and

Formación

• Bachelor's degree or High School Diploma/GED with 4 years of additional relevant experience in lieu of a degree.
• 5 years of prior relevant experience in a managed care setting, interacting regularly with providers over the phone.
• Excellent written and verbal communications skills.
• Strong analytical skills, time management and organizational skills.
• Strong customer service and problem-solving skills.
• Proficiency in Outlook, Word, Excel, and Adobe Acrobat.
• Self-starter who works well independently or with a team.

Responsabilidades

• Lead provider relations and support across Behavioral Health Network Management.
• Coordinate administrative tasks to ensure a seamless provider experience.
• Build and maintain provider relationships and resolve issues in a timely manner.

Conocimientos

Excellent written and verbal Communic

Analytical skills

Time management

Organizational skills

Customer service

Problem-solving

Self-starter

Educación

Bachelor's degree or High School Diploma/GED

Herramientas

Outlook

Word

Excel

Adobe Acrobat

Descripción del empleo

Blue Shield of California is seeking a Senior Provider Relations Representative to join the Behavioral Health Network Management team. You will help reimagine how we deliver behavioral health services for Commercial, Medicare, and Medi-Cal members, blending provider support, issue resolution, relationship building and administrative coordination to ensure a seamless provider experience.

The role emphasizes leadership development and cross-functional collaboration, with hybrid virtual work and