Senior Provider Relations & Network Advocate (Hybrid)

Blue Shield of CA; Long Beach (CA); Hybrid; USD 65.000 - 95.000; Vollzeit

Zusammenfassung

Blue Shield of California (BSC) seeks a Senior Provider Relations Representative to manage a state-wide provider network and deliver superior support to our Commercial, Medicare, and Medi-Cal members. You will lead in coordinating provider relations, resolving issues, and building strong partnerships while collaborating across teams.

The role combines call-center responsibilities with administrative coordination and a focus on a seamless provider experience, reporting to the Behavioral Health

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.

Kenntnisse

Provider relations

Communication skills

Customer service

Analytical skills

Time management

Organizational skills

Ausbildung

Bachelor's degree or HS+4 yrs exp

Tools

Outlook

Word

Excel

Adobe Acrobat

Jobbeschreibung

Blue Shield of California (BSC) seeks a Senior Provider Relations Representative to manage a state-wide provider network and deliver superior support to our Commercial, Medicare, and Medi-Cal members. You will lead in coordinating provider relations, resolving issues, and building strong partnerships while collaborating across teams.

The role combines call-center responsibilities with administrative coordination and a focus on a seamless provider experience, reporting to the Behavioral Health