[Hiring] Senior Provider Relations Representative @BlueCross BlueShield of South Carolina

Role Description

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

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, including:
  • 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
  • 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 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.

Qualifications

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

Requirements

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

Benefits

• 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.