Provider Experience Consultant

Blue Cross & Blue Shield of Mississippi

Flowood, Mississippi

JOB DETAILS
SKILLS
Analysis Skills, Business Administration, Claims Processing, Clinical Information Systems, Communication Skills, Consulting, Healthcare Administration, Member Orientation, Microsoft Office, Network Monitoring, Presentation/Verbal Skills, Provider Relations, Willing to Travel, Writing Skills
LOCATION
Flowood, Mississippi
POSTED
2 days ago

Healthy Careers Start Here

The Provider Experience Consultant is responsible for developing and maintaining Network Provider relationships across the state through identifying quality improvements for Contact Blue inquiries received, developing trainings to educate Network Providers to better serve Members and leading education and monitoring of the Company’s value-based programming.  The incumbent will use analysis relating to Network Providers Contact Blues, service utilization and claim filing processes to target, schedule and train Network Providers and ancillary staff within clinic and/or health systems to provide a service minded experience for Network Providers. The incumbent will also be responsible for receiving Network Provider feedback to identify opportunities to enhance the overall Network Provider experience.  The incumbent will also participate in recruiting and monitoring Network Providers participation in various corporately focused value-based programs.

Job-Specific Requirements:

  • Bachelor’s degree in Business or Healthcare Administration or related field.
  • Master’s degree preferred.
  • At least one year experience in provider relations or a provider office setting required.
  • Must possess the ability to present and speak publicly.
  • Must possess the aptitude to communicate effectively at all levels of an organization.
  • Strong knowledge of Microsoft Office Suite.
  • Must have excellent verbal and written communication skills in order to effectively communicate with providers.
  • Overnight travel limited to the state of Mississippi may be required.

Blue Cross & Blue Shield of Mississippi is an Equal opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

We offer a comprehensive benefits package that is worth approximately one-third of the salary compensation. Our benefits program is among the best in the health care field. We are looking for employees who can bring their experience, expertise and dedication to work for our customers.

About the Company

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Blue Cross & Blue Shield of Mississippi