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Senior Provider Relations Representative
Company | BlueCross BlueShield of South Carolina |
Address | United States |
Employment type | FULL_TIME |
Salary | |
Expires | 2024-02-22 |
Posted at | 8 months ago |
What You’ll Do:
- Develops/prepares/reviews/updates all provider education materials.
- Responds to/resolves problems/issues identified through meetings, workshops, correspondence, etc.
- Develops relationships with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents, state/local medical/professional associations.
- Produces/generates various reports to management and provides feedback on activities to management.
- 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.
- Work environment: Typical office environment. Work may involve some travel between office buildings. Some frequent/out-of-town travel may be required.
- Performs administrative functions in support of education and training.
- Responds to educational needs.
- Contributes/participates/completes special projects as assigned.
- Conducts/facilitates meetings, workshops, training classes, teleconferences with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents.
- Acts as liaison between division/above mentioned groups and appropriate state/federal agencies to ensure training needs are met.
To Qualify for This Position, You’ll Need:
- Ability to persuade, negotiate, or influence others.
- Good judgment skills. Demonstrated proficiency in spelling, punctuation, grammar skills.
- Team player
- Ability to handle confidential or sensitive information with discretion.
- Working knowledge/understanding of government healthcare programs, HIPAA policies, procedures.
- Basic business math proficiency.
- Ability to evaluate progress in addition to actual delivery of training sessions.
- Demonstrated skills related to training materials development.
- Demonstrated skills related to classroom presentations to large groups.
- Ability to multitask in a fast-paced environment
- Analytical and critical thinking skills.
- Ability to identify learning objectives.
- Microsoft Office.
- Four (4) years of experience in customer service, claims processing, communications, education/training, provider relations, healthcare or combination. (Can be concurrent)
- Demonstrated proficiency in word processing, spreadsheet, database software.
- Demonstrated verbal and written communication skills.
- Bachelor's degree OR Four (4) years of job-related work experience OR Four (4) years combined job related education and experience.
- Strong course design skills to include use of media/other instructional methods.
We Prefer That You Have:
- Proficiency in Microsoft Office Suite, to include Power Point and Outlook.
- Experience with Medicare Part A, Medicare Part B, or Medicare HHH (Home, Health, and Hospice).
- Experience with presentation software
- Proficiency with Go to Webinar or other webinar similar webinar platform.
What Blue Can Do For You:
Our comprehensive benefits package includes:
- Life insurance
- Tuition assistance
- Wellness programs and a healthy lifestyle premium discount
- Paid annual leave — the longer you work here, the more you earn
- On-site cafeterias and fitness centers in major locations
- 401(k) retirement savings plan with company match
- Subsidized health plans and free vision coverage
- Service recognition
- Nine paid holidays
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. Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.
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