Provider Relations Representative, Experienced
Blue Shield of California · Long Beach
Your Role
The Provider Service team is responsible for building and maintaining effective provider relationships with IPA/Medical groups, Providers and Hospitals. This entails services in the operational and compliance aspects of provider contracts and daily interaction with providers to effectively resolve service issues in a timely manner is a requirement. The Provider Relations Representative, Experienced will report to the Sr. Manager, Provider Services. In this role you will research and resolve provider inquiries, escalated issues, and operational challenges. Collaborate with cross-functional teams to support provider education, regulatory compliance, and process improvement initiatives. Exercise sound judgment in decision-making and seek guidance on highly complex issues when appropriate.
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.
The Provider Relations Representative, Experienced will report to the Sr. Manager, Provider Services. In this role you will research and resolve provider inquiries, escalated issues, and operational challenges. Collaborate with cross-functional teams to support provider education, regulatory compliance, and process improvement initiatives. Exercise sound judgment in decision-making and seek guidance on highly complex issues when appropriate.More jobs at Blue Shield of California · Legal & Compliance jobs in Long Beach