Provider Relations Representative, Senior

Do you have a passion for advocating for healthcare providers? Are you looking for an opportunity to work for an organization that is dedicated to providing quality health care coverage for its members? Blue Shield of California is looking for an experienced and knowledgeable Senior Provider Relations Representative to join our team. We are looking for someone who is committed to providing excellent customer service to both our members and providers.The Senior Provider Relations Representative will be responsible for developing and maintaining positive relationships with our providers and responding to their inquiries in a prompt and efficient manner. The ideal candidate should have experience in the healthcare or insurance industries, have a strong understanding of healthcare provider operations and a proven track record of providing excellent customer service. If you meet these qualifications and have the skills and knowledge to be successful in this role, we encourage you to apply.

Responsibilities:

1. Develop and maintain positive relationships with providers.
2. Respond to provider inquiries in a prompt and efficient manner.
3. Ensure excellent customer service for both members and providers.
4. Monitor and analyze provider operations and activity.
5. Investigate and resolve provider complaints.
6. Maintain up-to-date knowledge of healthcare and insurance industry trends.
7. Assist in preparing and administering contracts and agreements.
8. Provide guidance and support to internal and external stakeholders.
9. Prepare reports and presentations on provider relations activities.
10. Facilitate collaboration between providers and other departments.

According to JobzMall, the average salary range for a Provider Relations Representative, Senior in Sacramento, CA, USA is $80,000 to $90,000 per year. The salary range can be affected by factors such as the company, the size of the organization, the experience and qualifications of the employee, and the specific job duties.

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.