Bcbsla
Provider Relations Representative - Louisiana
Corporate - Baton Rouge, LA · Contract
Sponsorship not specifiedDetected 1 day ago
Project ManagementCRMExcelHRISCustomer SupportLeadershipCommunicationCollaborationCritical ThinkingPublic SpeakingMicrosoft Office
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Cap-exempt (no lottery)0
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Entry-level history0
PERM / green-card track0
Lottery odds40
Fits your clock70
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About the role
- We invite you to apply for a career with us.
- POSITION PURPOSE The Provider Relations Representative serves as the primary relationship manager between the Health Plan and contracted healthcare providers across an assigned territory.
- Success is measured through provider satisfaction, issue resolution, provider engagement, adoption of health plan programs, operational improvements, and the strength of provider relationships.
Responsibilities
- Ability to investigate issues, identify root causes, develop practical solutions, and coordinate cross-functional resolution efforts.
Requirements
- Four years of related experience may be substituted for the Bachelor's degree requirement.
- Ability to influence provider behavior and operational outcomes without direct authority.
- Strong analytical skills with the ability to evaluate utilization trends and prepare reports and presentations for providers and leadership.
- Proficiency with Microsoft Office Suite, including Excel, PowerPoint, Outlook, and Word.
- Experience using Facets, CRM and provider management systems, provider data management platforms, provider portals, e-Business tools, and reporting systems.
- A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.
Nice to have
- Four years of experience in provider relations, revenue cycle, managed care, or payor relations.
- Experience supporting provider satisfaction, network performance, issue resolution, and operational improvement initiatives.
- Experience promoting electronic transaction capabilities and provider technology adoption.
- The Physical Demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job.
- Ability to travel by car within your assigned territory.
- Job duties are performed in a normal and clean office environment with normal noise levels.
- Work is predominately performed while sitting or standing.
- The ability to comprehend, document, calculate, visualize, and analyze information is required.
Benefits
- Assesses provider educational needs and organizes provider workshops, webinars, statewide instructional seminars, and promotional activities to support provider satisfaction and engagement.
- Bachelor's degree in Business, Healthcare, or a related field required.
- Minimum of two years of healthcare industry experience with a focus on provider relations, revenue cycle, managed care, or payor relations.
- Strong relationship management skills with the ability to build trust, credibility, and responsiveness with providers and healthcare leaders.
- If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance.
Company info
- Additionally, we are a Drug Free Workplace.
This listing is sourced directly from Bcbsla's careers page and normalized into a canonical job model.