Senior Provider Relations Lead – Behavioral Health (Hybrid)

Blue Shield of CA; Rancho Cordova (CA); Hybrid; USD 90,000 - 120,000; Full time

Job summary

Blue Shield of California is seeking a Senior Provider Relations Representative to lead efforts in reimagining how behavioral health services are delivered to Commercial, Medicare, and Medi-Cal members.

The role blends provider support, issue resolution, relationship building, and administrative coordination to ensure a seamless provider experience. Hybrid virtual work is available with occasional in-office requirements based on business need.

Qualifications

• Bachelor's degree or HS/GED with 4 years of additional relevant experience.
• 5 years of experience in a managed care setting with provider interactions by phone.
• Excellent written and verbal communication; strong analytical and time-management skills.

Responsibilities

• Provide provider support and issue resolution by phone.
• Build and maintain relationships with providers.
• Coordinate administrative tasks to ensure a seamless provider experience.

Skills

Communication skills

Analytical skills

Time management

Organizational skills

Customer service

Education

Bachelor's degree or HS Diploma + 4 years experience

Job description

Blue Shield of California is seeking a Senior Provider Relations Representative to lead efforts in reimagining how behavioral health services are delivered to Commercial, Medicare, and Medi-Cal members.

The role blends provider support, issue resolution, relationship building, and administrative coordination to ensure a seamless provider experience. Hybrid virtual work is available with occasional in-office requirements based on business need.