Senior Provider Relations Representative – IRF RCD

🔥 16 hours ago

🏈 Alabama, Tennessee – Remote

🏈 Alabama – Remote 🎸 Tennessee – Remote

⏰ Full Time

🟠 Senior

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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BlueCross BlueShield of South Carolina

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1946

🏥 Healthcare

💼 Consulting

⚖️ Legal

Healthcare • Consulting • Legal

BlueCross BlueShield of South Carolina is a leading health insurance provider that offers a variety of health plans, including individual and family plans, Medicare options, and group health plans. The organization focuses on providing coverage and resources for members, employers, and healthcare providers, ensuring access to quality healthcare services. With a commitment to promoting healthier lifestyles and supporting community health, BlueCross BlueShield of South Carolina plays a vital role in the healthcare landscape of the region.

📋 Description

• Provide education and training for network providers, staff, suppliers, physicians, beneficiaries, and referral agents • Develop, prepare, review, and update provider education materials, including web-based and computer-based training, outreach presentations, listserv articles, job aids, resource tools, and web page content • Conduct and facilitate meetings, workshops, training classes, and teleconferences • Develop relationships with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents, and medical/professional associations • Respond to educational needs • Act as liaison between internal divisions, stakeholder groups, and appropriate state/federal agencies • Respond to and resolve problems identified through meetings, workshops, and correspondence • Perform administrative functions supporting education and training • Produce reports for management and provide feedback on activities • Contribute to and complete special projects as assigned

🎯 Requirements

• Bachelor's Degree required • Degree equivalency: 4 years job-related work experience or Associate's and 2 years job-related work experience • 4 years of experience in customer service, claims processing, communications, education/training, provider relations, healthcare, or combination • Must reside in Alabama, Georgia, or Tennessee • Must be able to travel up to 3–5 days a week, including possible weekday and weekend overnight travel • Position is not eligible for sponsorship now or in the future • Demonstrated skills in training materials development • Demonstrated skills in classroom presentations to large groups • Working knowledge/understanding of government healthcare programs and HIPAA policies and procedures • Proficiency in word processing, spreadsheet, and database software • Proficiency in spelling, punctuation, and grammar • Verbal and written communication skills • Analytical and critical thinking skills • Basic business math proficiency • Ability to persuade, negotiate, or influence others • Ability to handle confidential or sensitive information with discretion • Ability to identify learning objectives • Strong course design skills using media and other instructional methods • Ability to evaluate progress and deliver training sessions • Microsoft Office proficiency • 8-hour shift during normal business hours of 8 a.m.–5 p.m.

🏖️ Benefits

• Subsidized health plans, dental and vision coverage • 401k retirement savings plan with company match • Life Insurance • Paid Time Off (PTO) • On-site cafeterias and fitness centers in major locations • Education Assistance • Service Recognition • National discounts to movies, theaters, zoos, theme parks and more • Diverse and inclusive workplace with opportunities to develop skills and advance careers • Reasonable accommodations for disabilities, pregnancy-related conditions, and sincerely held religious beliefs