Senior Provider Relations Representative - CGS (Medicare Part B)

Bluecross Blueshield of South Carolina

313d • Remote

About The Position

As a Senior Provider Relations Representative, you will provide education and training for network providers/staff/suppliers/physicians/beneficiaries/referral agents as necessary. You will also develop and produce all training and educational materials. This is a full-time Work at Home position with an 8-hour shift scheduled during normal business hours of 8:00 a.m. - 5:00 p.m. Monday - Friday.

Requirements

• Bachelor's degree OR Four (4) years of job-related work experience OR Four (4) years combined job related education and experience.
• Four (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, 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.
• Team player.
• Ability to multitask in a fast-paced environment.

Nice To Haves

• Experience with Medicare Part B.
• Proficiency in Microsoft Office Suite, to include Power Point and Outlook.
• Experience with presentation software.
• Proficiency with webinar platforms and virtual technology.

Responsibilities

• Develops/prepares/reviews/updates all provider education materials.
• 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.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree