Senior Provider Relations Lead – Network & Compliance

Blue Shield of CA; Rancho Cordova (CA); Hybrid; USD 90,000 - 115,000; Full time

Job summary

Blue Shield of California is seeking a Senior Provider Relations Representative to strengthen relationships with the provider network, ensure contract compliance, and collaborate with internal teams to resolve operational issues.

This role operates in a hybrid work model in California, requiring in-office presence two days per week, with opportunities for growth, leadership development, and impact across network goals.

Qualifications

• Bachelor's degree or High School/GED with 4+ years of relevant experience.
• 5+ years of prior relevant experience.
• Experience with health plans or managed care preferred.
• Experience working with CA provider networks.
• Strong organizational and time management skills.
• Ability to manage multiple initiatives and present to groups.
• Knowledge of regulatory requirements and oversight.

Responsibilities

• Build provider relationships and support contract compliance.
• Collaborate with internal teams to resolve operational issues.

Education

Bachelor's degree

High School/GED + 4 years experience

Job description

Blue Shield of California is seeking a Senior Provider Relations Representative to strengthen relationships with the provider network, ensure contract compliance, and collaborate with internal teams to resolve operational issues.

This role operates in a hybrid work model in California, requiring in-office presence two days per week, with opportunities for growth, leadership development, and impact across network goals.