Provider Relations Representative, Senior

As a Senior Provider Relations Representative at Blue Shield of California, you will be an integral part of our Provider Relations team. This role requires a unique combination of outstanding customer service, expert analytical skills, and the ability to manage multiple priorities in a fast-paced environment. You will have the opportunity to work with healthcare providers, industry stakeholders, and internal departments to ensure successful relationships with our providers.To be successful in this role, you must possess a minimum of five years of provider relations experience in the healthcare industry, ideally in the managed care setting. You must have in-depth knowledge of contracting, reimbursement, credentialing, and operations, and must be proficient with MS Office Suite and other database software. Excellent communication and interpersonal skills are essential, as well as the ability to build relationships and manage expectations in a positive and professional manner. You must also be a self-starter who is able to work independently and collaboratively as part of a team. If you are passionate about customer service and are looking for a meaningful role within a leading healthcare organization, we would love to hear from you!

Responsibilities:

1. Develop and maintain positive relationships with healthcare providers, industry stakeholders, and internal departments.
2. Coordinate the contracting, credentialing, and reimbursement processes for providers.
3. Analyze data and trends to identify areas of improvement in provider relations.
4. Monitor operations and performance to ensure compliance with established standards.
5. Resolve provider issues in a timely and efficient manner.
6. Manage multiple priorities and provide timely updates to internal departments.
7. Communicate effectively with providers and stakeholders to ensure successful relationships.
8. Act as a liaison between providers and internal departments.
9. Utilize MS Office Suite and other database software to effectively manage provider relations.
10. Maintain a high level of customer service and professionalism in all interactions.

According to JobzMall, the average salary range for a Provider Relations Representative, Senior in San Diego, CA, USA is between $62,000 and $86,000 per year. This salary range is based on data collated from job postings on Indeed, Glassdoor, and ZipRecruiter in the area.

The salary range may vary depending on qualifications, experience, and the size of the company. Additionally, salaries may be higher for those who have experience in healthcare administration, customer service, and operations.

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.