Senior Provider Relations Representative - IRF RCD

Southcarolinablues; Georgia; Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Subsidized health plans and dental and

vision coverage

401k retirement savings plan with公司

Job summary

BlueCross BlueShield of South Carolina is seeking a seasoned training and education professional to develop and update provider education materials and to lead education activities for providers, staff, suppliers, physicians, and beneficiaries. You will coordinate meetings, workshops, and teleconferences while building strong relationships with provider groups and state associations.

You will respond to educational needs, ensure alignment with government programs and HIPAA, and manage reporting

Qualifications

• Demonstrated skills related to training materials development.
• Demonstrated skills related to classroom presentations to large groups.
• Working knowledge/understanding of government healthcare programs, HIPAA policies, procedures.
• Proficiency in word processing, spreadsheets, and databases.
• Ability to persuade, negotiate, or influence others.
• Ability to identify learning objectives.

Responsibilities

• Develops/prepares/reviews/updates all provider education materials.
• Conducts meetings, workshops, training classes with providers and staff.
• Develops relationships with providers and state/local associations.
• Responds to educational needs and coordinates with agencies.
• Performs administrative functions in support of education and training.
• Produces reports to management and provides feedback on activities.

Skills

Training materials development

Classroom presentations

HIPAA awareness

Verbal and written communication

Analytical and critical thinking

Spelling, punctuation, and grammar

Microsoft Office

Learning objectives identification

Education

Bachelor's Degree

Degree Equivalency: 4 years job-related work experience or Associate's and 2 years job related work experience

Tools

Microsoft Office

Job description

Summary

Provides education and training for network providers, staff, suppliers, physicians, beneficiaries, and referral agents as necessary. Develops and produces all training and educational materials.

Description

Logistics: Palmetto GBA- one of BlueCross BlueShield's South Carolina subsidiary companies.

Location and Travel Expectations

Location: This is a full-time remote position. You must reside in Alabama, Georgia, or Tennessee.

You will work an 8-hour shift scheduled during our normal business hours of 8 a.m. - 5 p.m.

Must be able to travel up to 3-5 days a week. There may be some weekday and weekend overnight traveling involved. May include travel outside of the assigned areas of Alabama, Georgia, or Tennessee as necessary.

Sponsorship

This position is not eligible for sponsorship now or in the future.

What You’ll Do

• Develops/prepares/reviews/updates all provider education materials.
• These may include: web-based training, computer-based training, ACT (ask the contractor) calls, outreach presentations/proposals, listserv articles, new highlights, calendar of events, job aids, resource tools, and web page content.
• Conducts/facilitates meetings, workshops, training classes, teleconferences with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents.
• Develops relationships with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents, state/local medical/professional associations.
• Responds to educational needs.
• Acts as liaison between division/above mentioned groups and appropriate state/federal agencies to ensure training needs are met.
• Responds to/resolves problems/issues identified through meetings, workshops, correspondence, etc.
• Performs administrative functions in support of education and training.
• Produces/generates various reports to management and provides feedback on activities to management.
• Contributes/participates/completes special projects as assigned.

Required Education

Bachelor's Degree.

Degree Equivalency

4 years job-related work experience or Associate's and 2 years job related work experience.

Required Work Experience

4 years of experience in customer service, claims processing, communications, education/training, provider relations, healthcare or combination.

Required Skills and Abilities

• Demonstrated skills related to training materials development.
• Demonstrated skills related to classroom presentations to large groups.
• Working knowledge/understanding of government healthcare programs, HIPAA policies, procedures.
• Demonstrated proficiency in word processing, spreadsheet, database software.
• Good judgment skills.
• Demonstrated proficiency in spelling, punctuation, and grammar skills.
• Demonstrated verbal and written communication skills.
• Analytical and critical thinking skills.
• Basic business math proficiency.
• Ability to persuade, negotiate, or influence others.
• Ability to handle confidential or sensitive information with discretion.
• Ability to identify learning objectives.
• Strong course design skills to include use of media/other instructional methods.
• Ability to evaluate progress in addition to actual delivery of training sessions.

Required Software and Tools

Microsoft Office.

Benefits

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.

• Subsidized health plans and dental and vision coverage
• 401k retirement savings plan with company match
• Life Insurance
• Paid Time Off (PTO)
• On-site cafeterias and fitness centers in major locations
• Education Assistance
• Service Recognition
• National discounts to movies, theaters, zoos, theme parks and more

What We Can Do for You

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email [e-mail] or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

Here’s Your Smart Career Move

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we've been part of the national landscape, with our roots firmly embedded in the South Carolina community. Business and political climates may change, but we're stronger than ever. Our A.M. Best rating is A+ (Superior) - making us the only health insurance company in South Carolina with that rating. We're the largest insurance company in South Carolina ... and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!

Veterans Welcome

BlueCross is a strong supporter of our veterans, and many service men and women have joined our ranks. We've found the dedication, work ethic and job skills that serve well in the military excel in many of our lines of business, and we proudly have veterans filling positions in Human Resources, Information Technology, Customer Service, Operations, General Services and more. Through our government contracts, we also have employees serving at Shaw Air Force Base, the Naval Health Clinic in Charleston, the Naval Hospital in Beaufort and in our hometown of Columbia, S.C., at Ft. Jackson. If you are a full-time employee in the National Guard or Reserves, we will even cover the difference in your pay if you are called to active duty.