Blue Shield of California

Provider Relations Representative, Senior

Blue Shield of California

Palo Alto, CA, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

We are looking for an experienced, collaborative, and detail-oriented Senior Provider Relations Representative to join Blue Shield of California's Provider Relations team. In this role, you will have the opportunity to manage a portfolio of providers and help ensure successful partnerships with our clients. To excel in this position, you should have excellent interpersonal and problem-solving skills, be comfortable working in a fast-paced environment, and have a customer service-oriented attitude.The successful candidate will have a minimum of 5 years of experience in a similar role and hold a Bachelor’s degree in healthcare, business, or a related field. In addition, you should have a robust understanding of healthcare provider operations and possess strong analytical and critical thinking skills. If you are passionate about helping people and enjoy working with providers and partners, then we want to hear from you!

Responsibilities:

  1. Manage a portfolio of providers and ensure successful partnerships with clients.
  2. Provide excellent customer service to providers and partners.
  3. Develop and maintain relationships with providers and partners.
  4. Monitor and analyze provider operations and performance.
  5. Identify and address potential issues in provider relations.
  6. Develop and implement strategies to improve provider relations.
  7. Communicate with providers and partners to resolve issues and ensure satisfaction.
  8. Ensure compliance with applicable laws and regulations.
  9. Prepare reports and presentations for management.
  10. Stay up to date with industry trends and developments.
Where is this job?
This job is located at Palo Alto, CA, USA
Job Qualifications
  • Strong Communication Skills

  • Knowledge Of Healthcare Industry

  • Ability To Work Independently

  • Proficiency In Ms Office Suite

  • Analytical And Problem-Solving Skills

  • Ability To Build Relationships

  • Knowledge Of Provider Contracting And Reimbursement Process

  • Experience In Customer Service And/Or Provider Relations

Required Skills
  • Data Entry

  • Networking

  • Communication

  • Attention to detail

  • Conflict Resolution

  • Auditing

  • customer service

  • Researching

  • Collaboration

  • Organization

  • Problem-Solving

  • Interpersonal

  • Negotiating

  • Analyzing

  • Insurance Knowledge

Soft Skills
  • Communication

  • Leadership

  • Negotiation

  • Time management

  • Interpersonal Skills

  • flexibility

  • Critical thinking

  • Organizational skills

  • Teamwork

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Provider Relations Representative, Senior in Palo Alto, CA, USA is $51,000 to $71,000. This range is based on salaries reported by job seekers and employers. The salary range may vary depending on experience, location, and other factors.

Additional Information
Blue Shield of California is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedJune 12th, 2023
Apply BeforeJune 9th, 2026
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About Blue Shield of California

Blue Shield of California is a health plan provider founded in 1939 and based in Oakland, California. The organization serves over 4 million health plan members and nearly 65,000 physicians across the state. Blue Shield of California was founded by the California Medical Association.

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