Senior Provider Relations Representative - CGS (Medicare Part B)

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina ... and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!

Logistics: CGS Administrators, LLC.

Location: This is a full-time Work at Home position. You will work an 8-hour shift scheduled during our normal business hours of 8:00 a.m. - 5:00p.m. Monday - Friday.

What You'll Do:

• Develops/prepares/reviews/updates all provider education materials.
• These may include: web-based training, computer-based training, ACM (ask the contractor meetings) calls, outreach presentations/proposals, listserv articles, new highlights, calendar of events, job aids, resource tools, and web page content.
• Conducts/facilitates meetings, workshops, training classes, teleconferences with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents.
• Develops relationships with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents, state/local medical/professional associations.
• Responds to educational needs.
• Acts as liaison between division/above mentioned groups and appropriate state/federal agencies to ensure training needs are met.
• Responds to/resolves problems/issues identified through meetings, workshops, correspondence, etc.
• Performs administrative functions in support of education and training.
• Produces/generates various reports to management and provides feedback on activities to management.
• Contributes/participates/completes special projects as assigned.
• Work environment: Typical office environment. Work may involve some travel between office buildings. Some frequent/out-of-town travel may be required.

To Qualify for This Position, You'll Need the Following:

• Required Education: Bachelor's degree OR Four (4) years of job-related work experience OR Four (4) years combined job related education and experience.
• Required Skills and Abilities: Four (4) years of experience in customer service, claims processing, communications, education/training, provider relations, healthcare or combination. (Can be concurrent). Demonstrated skills related to training materials development. Demonstrated skills related to classroom presentations to large groups. Working knowledge/understanding of government healthcare programs, HIPAA policies, procedures. Demonstrated proficiency in word processing, spreadsheet, database software. Good judgment skills. Demonstrated proficiency in spelling, punctuation, grammar skills. Demonstrated 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 to include use of media/other instructional methods. Ability to evaluate progress in addition to actual delivery of training sessions. Team player. Ability to multitask in a fast-paced environment
• Required Sofware and Tools: Microsoft Office.

We Prefer That You Have the Following:

• Experience with Medicare Part B
• Proficiency in Microsoft Office Suite, to include Power Point and Outlook.
• Experience with presentation software
• Proficiency with webinar platforms and virtual technology

What We Can Do for You:

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

Our comprehensive benefits package includes the following:

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.

• 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.

What to Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

Some states have required notifications. Here's more information.

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.

If you need special assistance or an accommodation while seeking employment, please e-mail mycareer.help@bcbssc.com or call 1-800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.