Senior Provider Relations Specialist (Hybrid)

Blue Shield of CA; Los Angeles (CA); Hybrid; USD 78,000 - 105,000; Full time

Job summary

Blue Shield of California is seeking an Experienced Provider Relations Representative to join our Provider Services team. You will help build and maintain effective relationships with IPA/Medical groups, providers and hospitals to support CalAIM participation and engagement.

A strong candidate will have 3+ years of relevant experience, an education credential as described, and proven analytical and organizational skills.

Qualifications

• Bachelor's degree or HS Diploma/GED with 4 years of additional relevant experience.
• 3 years of prior relevant experience.
• Strong analytical, critical thinking, and problem-solving skills.
• Proficient in Microsoft Office applications, including Excel, Word, Access, and Outlook.
• Working knowledge of medical terminology and healthcare industry concepts.
• Experience with Medi-Cal, Medicaid or other government-sponsored programs preferred.
• Demonstrated ability to work independently, prioritize multiple assignments, and manage responsibilities with minimal supervision.
• Excellent organizational skills with strong attention to detail and accuracy.

Skills

Analytical thinking

Problem solving

Microsoft Office proficient

Healthcare terminology

Independent work

Attention to detail

Education

Bachelor's degree or HS diploma + 4 years experience

3+ years relevant experience

Tools

Excel

Word

Access

Outlook

Job description

Blue Shield of California is seeking an Experienced Provider Relations Representative to join our Provider Services team. You will help build and maintain effective relationships with IPA/Medical groups, providers and hospitals to support CalAIM participation and engagement.

A strong candidate will have 3+ years of relevant experience, an education credential as described, and proven analytical and organizational skills.