Provider Relations Representative, Senior
About The Position
The Behavioral Health Network Management, Healthcare Quality and Affordability team is responsible for the state-wide behavioral health program at Blue Shield of California (BSC). This includes managing a directly contracted behavioral health provider network. The Provider Relations Representative, Senior will report to the Manager, Provider Services – Relations. In this role you will be one of several team members who will be leading the effort to reimagine how we deliver behavioral health services to our Commercial, Medicare, and Medi-Cal membership. This role combines provider support, issue resolution, relationship building, and administrative coordination to ensure a seamless provider experience. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Requirements
- External hires must pass a background check/drug screen.
- Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance.
- All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.
Responsibilities
- Manage a directly contracted behavioral health provider network.
- Lead the effort to reimagine how we deliver behavioral health services to our Commercial, Medicare, and Medi-Cal membership.
- Provide provider support.
- Resolve provider issues.
- Build relationships with providers.
- Provide administrative coordination to ensure a seamless provider experience.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
