Senior Behavioral Health Provider Relations Lead

Blue Shield of CA; Los Angeles (CA); Hybrid; USD 75.000 - 110.000; Vollzeit

Zusammenfassung

Blue Shield of California is seeking a Senior Provider Relations professional to manage a directly contracted behavioral health provider network. You will lead efforts to reimagine how behavioral health services are delivered to Commercial, Medicare, and Medi-Cal members, combining provider support, issue resolution, and administrative coordination.

The role emphasizes relationship building, proactive problem solving, and strong communication within a team-driven, leadership-oriented

Qualifikationen

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

Aufgaben

• Provide provider support by phone and email, resolving issues and coordinating administrative tasks.
• Build and maintain relationships with providers to ensure seamless service delivery.
• Assist with project coordination and process improvements within the Behavioral Health Network Management team.

Kenntnisse

Communication skills

Analytical skills

Time management

Organization

Customer service

Problem solving

Self-starter

Ausbildung

Bachelor's degree or High School Diploma/GED with 4 years' experience in lieu of degree

Tools

Outlook

Word

Excel

Adobe Acrobat

Jobbeschreibung

Blue Shield of California is seeking a Senior Provider Relations professional to manage a directly contracted behavioral health provider network. You will lead efforts to reimagine how behavioral health services are delivered to Commercial, Medicare, and Medi-Cal members, combining provider support, issue resolution, and administrative coordination.

The role emphasizes relationship building, proactive problem solving, and strong communication within a team-driven, leadership-oriented