Provider Relations Specialist

Worldwide Insurance Services • King of Prussia, PA

6d • Hybrid

About The Position

At Blue Cross Blue Shield Global SolutionsSM (BCBS Global SolutionsSM), we make it easy for people and organizations to access and pay for healthcare abroad. By combining digital innovation with human-centered care, we go above and beyond for our customers and deliver an international healthcare experience that’s simple, efficient, and human. Whether our customers live, work, travel or study abroad, we give them the confidence and peace of mind to embrace every journey and say “yes” to new possibilities.

The Provider Relations Specialist maintains and expands the international network of doctors and hospitals, including managing existing contract relationships, contracting with new providers, verifying and updating information in provider profiles and researching qualified healthcare options around the world.

Requirements

• Bachelor’s degree or equivalent professional work experience required.
• Fluency in one or more foreign languages required, such as Portuguese, German, Japanese, or Italian.
• Ability to work independently and as part of a team.
• Excellent written and verbal communication skills.
• Ability to work in a high-volume work environment while maintaining exceptional attention to detail.
• Familiarity with Microsoft Office (Word, Excel).
• Employee is required to have at minimum an internet speed of 75 Mbps (standard high speed internet access).

Nice To Haves

• Basic knowledge of health insurance terminology preferred.
• Substantial international travel or expatriate experience preferred.
• Knowledge of world geography and other cultures is preferred.
• Familiarity with Salesforce and SharePoint a plus.
• Experience with databases a plus.

Responsibilities

• Manage relationships with contracted providers, including training and problem resolution.
• Build relationships with contracted doctors and hospitals.
• Create profiles for new providers.
• Verify and update information on profiled doctors and hospitals.
• Support the contracting process with international doctors and hospitals, including securing discounts and participating in custom agreement discussions.
• Research and verify credentials on new providers and hospitals for contracting.
• Collaborate with Provider Finance colleagues to resolve contracted provider claims issues as necessary.
• Support research and completion of PreTravel reports for VIP clients.
• Other research projects as assigned.
• Other duties as assigned.

Benefits

• Competitive base pay + annual bonus
• Competitive medical plans
• Telemedicine available
• Paid parental leave
• Employee assistance and wellness support 24/7
• Free international healthcare coverage
• Hybrid work model
• Work abroad arrangements available
• Generous PTO accrual program with carry-over option
• 9 paid holidays in addition to one floating holiday and one volunteer day
• Tuition reimbursement
• Career/Learning and development opportunities
• 401(k) with generous company match
• Pet insurance offerings
• Identify theft and legal coverages available
• Emphasis on well-being (Virtual well-being platform, monthly mindfulness events, and giveaways)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level