Senior Provider Relations Representative - IRF RCD

Palmetto GBA, LLC; Northern (KY); Hybrid; USD 60,000 - 90,000; Full time

Benefits offered by this job

Subsidized health plans

401k with company match

Paid Time Off (PTO)

Education Assistance

Service Recognition

Job summary

Palmetto GBA, LLC is seeking a Senior Provider Relations Representative to educate and train network providers, staff, suppliers, and beneficiaries. The role develops training content and delivers sessions across various formats, with travel 3–5 days per week and a remote setup requiring residence in AL, GA, or TN.

You’ll collaborate with provider groups and state/federal agencies, manage documentation, and support special projects while upholding HIPAA and government healthcare program

Qualifications

• Develops/updates training materials for providers, staff, and others.
• Delivers and facilitates trainings and workshops.
• Uses various media and tools to design course content.
• Ensures compliance with government healthcare programs and HIPAA.

Responsibilities

• Develops/prepares/reviews/updates provider education materials.
• Conducts meetings, workshops, and teleconferences with providers and staff.
• Represents training needs to state/federal agencies as needed.
• Produces reports and provides feedback to management.

Skills

Training materials development

Classroom presentations

HIPAA knowledge

Office software proficiency

Verbal communication

Written communication

Analytical thinking

Learning objectives design

Negotiation ability

Discretion with confidential info

Course design

Education

Bachelor’s Degree

Degree equivalency: 4 yrs exp or Associate + 2 yrs exp

Tools

Microsoft Office

Job description

## Senior Provider Relations Representative - IRF RCDApply: Remote: W@H Georgia: Full time: Posted Yesterday: End Date: September 30, 2026 (18 days left to apply): R1052269# **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:** **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.**To Qualify for This Position, You’ll Need the Following:*** **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.**We Prefer That You Have the Following:*** **Preferred Work Experience:** IRF (Inpatient Rehabilitation Facility) education consultant experience.**Our Comprehensive Benefits Package Includes the Following:**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, 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.**What To Expect Next:**After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.**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 more information.