Senior Provider Relations Strategist (Hybrid)

Blue Shield of CA; Oakland (CA); Híbrido; USD 85.000 - 120.000; Jornada completa

Descripción de la vacante

Blue Shield of California is seeking a Senior Provider Relations Representative to join the Behavioral Health Network Management team. You will contribute to state-wide behavioral health programs, directly contracted provider networks, and cross-functional collaboration.

In this hybrid role, you will support providers by resolving issues, building relationships, and coordinating administrative tasks to ensure a seamless experience for Commercial, Medicare, and Medi-Cal members.

Formación

• Bachelor's degree or equivalent experience plus 4 years in lieu of a degree.
• At least 5 years of experience in a managed care setting interacting with providers over the phone.
• Excellent written and verbal communications.
• Strong analytical, time management, and organizational skills.
• Strong customer service and problem-solving skills.
• Proficiency in Outlook, Word, Excel, and Adobe Acrobat.
• Self-starter who works well independently or with a team.

Responsabilidades

• Lead efforts to reimagine how behavioral health services are delivered to members across plans.
• Provide provider support, issue resolution, and relationship building with network providers.
• Coordinate administrative tasks to ensure a seamless provider experience.

Conocimientos

Communication skills

Analytical skills

Time management

Organizational skills

Customer service

Problem solving

Self-starter

Team player

Educación

Bachelor's degree or high school diploma/GED

Herramientas

Outlook

Word

Excel

Adobe Acrobat

Descripción del empleo

Blue Shield of California is seeking a Senior Provider Relations Representative to join the Behavioral Health Network Management team. You will contribute to state-wide behavioral health programs, directly contracted provider networks, and cross-functional collaboration.

In this hybrid role, you will support providers by resolving issues, building relationships, and coordinating administrative tasks to ensure a seamless experience for Commercial, Medicare, and Medi-Cal members.