Provider Relations Representative, Senior

Are you an experienced Provider Relations Representative looking to make an impact in the healthcare industry? Blue Shield of California is looking for a Senior Provider Relations Representative to join our team. In this role, you'll be responsible for ensuring that providers in our network receive quality service, developing provider relationships, and maintaining provider compliance. We’re looking for someone with strong interpersonal and communication skills, as well as an understanding of the healthcare industry, to help us continue providing the highest quality of services to our members.

Responsibilities:

1. Establish and maintain relationships with providers in the network, ensuring they receive quality service.
2. Communicate with providers to ensure compliance with regulations and policies.
3. Resolve any conflicts or issues between providers and Blue Shield of California.
4. Monitor and analyze provider performance to ensure quality of service.
5. Educate providers on Blue Shield of California policies and procedures.
6. Develop and implement strategies to improve provider relations.
7. Act as a liaison between providers and other departments within Blue Shield of California.
8. Respond to provider inquiries and complaints in a professional and timely manner.
9. Track and report provider activity and performance metrics.
10. Assist in provider recruitment and onboarding processes.

According to JobzMall, the average salary range for a Provider Relations Representative, Senior in Irvine, CA, USA is $45,000 - $90,000. This range can vary depending on experience, education, and other factors.

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.