Representative, Provider Relations

BlueCross BlueShield of South Carolina•Columbia, SC

1d•Onsite

About The Position

Summary Provides education and training support for network providers, staff, suppliers, physicians, beneficiaries, referral agents as necessary. Develops and produces training and educational materials. Description Logistics: BlueCross BlueShield of South Carolina - About Us | BlueCross BlueShield of South Carolina Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM - 5:00PM. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings. This role is located onsite at 17 Technology Circle Columbia, SC, 29203. If chosen to move forward to an interview, you must prepare a 5 -10 minute in person presentation on a topic of your choice. You will email the presentation to the hiring manager by 4 p.m. the day prior to the interview. Some out-of-town travel is required. No overnight travel. No weekend travel. What You’ll Do: Develops/prepares/reviews/updates all provider education materials. These may include: new highlights, calendar of events, job aids, resource tools, and web page content. conducts/facilitates workshops, training class materials in support of teleconferences with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents. Supports relationships with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents, state/local medical/professional associations. Responds to educational needs. 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. To Qualify for This Position, You’ll Need the Following: Required Education: Bachelor's Degree equivalency: 4 years job related work experience or Associate's and 2 years job related work experience Required Work Experience: 2 years of experience in customer service, claims processing, communications, education/training, provider relations, healthcare, or a combination. Required Skills and Abilities: Demonstrated skills related to training materials development. Demonstrated skills related to classroom presentations to large groups. Demonstrated proficiency in word processing and spreadsheet software. Good judgment skills. Effective customer service, organizational, and presentation 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. Required Software and Tools: Microsoft Office. We Prefer That You Have the Following: Preferred Requirements: Bachelor's degree-in Communications/Journalism, English, Education, Training, Healthcare Administration, or Nursing. Preferred Work Experience: 2 years-of experience in claims processing, graphic design/publications, provider network, sales/marketing, insurance industry training. Preferred Skills and Abilities: Knowledge of claims processing, government healthcare programs. Ability to acquire working knowledge/understanding of specific programs. Ability to acquire working knowledge/understanding of Medicaid, Medicare. Ability to acquire working knowledge/understanding of HIPAA policies/procedures. Preferred Software and Other Tools: Working knowledge of Microsoft Access or other database software. Our Comprehensive Benefits Package Includes The Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. 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 What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. 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. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email [email protected] or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information. If you don’t have an account with us and don’t see the dream job you are looking for, click on the link above to Join Our Talent Community by submitting your resume and contact information and we will reach out if we find a good fit. Welcome Here’s Your Smart Career Move Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. Business and political climates may change, but we’re stronger than ever. Our A.M. Best rating is A+ (Superior) — making us the only health insurance company in South Carolina with that rating. We’re the largest insurance company in South Carolina … and much more. We are one of the nation’s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Veterans Welcome! BlueCross is a strong supporter of our veterans, and many service men and women have joined our ranks. We’ve found the dedication, work ethic and job skills that serve well in the military excel in many of our lines of business, and we proudly have veterans filling positions in Human Resources, Information Technology, Customer Service, Operations, General Services and more. Through our government contracts, we also have employees serving at Shaw Air Force Base, the Naval Health Clinic in Charleston, the Naval Hospital in Beaufort and in our hometown of Columbia, S.C., at Ft. Jackson. If you are a full-time employee in the National Guard or Reserves, we will even cover the difference in your pay if you are called to active duty. Join Us If you're ready to join in a diverse company with secure, community roots and an innovative future, apply for a position now!

Requirements

Bachelor's Degree equivalency: 4 years job related work experience or Associate's and 2 years job related work experience
2 years of experience in customer service, claims processing, communications, education/training, provider relations, healthcare, or a combination.
Demonstrated skills related to training materials development.
Demonstrated skills related to classroom presentations to large groups.
Demonstrated proficiency in word processing and spreadsheet software.
Good judgment skills.
Effective customer service, organizational, and presentation 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.

Nice To Haves

Bachelor's degree-in Communications/Journalism, English, Education, Training, Healthcare Administration, or Nursing.
2 years-of experience in claims processing, graphic design/publications, provider network, sales/marketing, insurance industry training.
Knowledge of claims processing, government healthcare programs.
Ability to acquire working knowledge/understanding of specific programs.
Ability to acquire working knowledge/understanding of Medicaid, Medicare.
Ability to acquire working knowledge/understanding of HIPAA policies/procedures.
Working knowledge of Microsoft Access or other database software.

Responsibilities

Develops/prepares/reviews/updates all provider education materials. These may include: new highlights, calendar of events, job aids, resource tools, and web page content.
Conducts/facilitates workshops, training class materials in support of teleconferences with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents.
Supports relationships with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents, state/local medical/professional associations.
Responds to educational needs.
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.