Senior Provider Relations Representative - CGS

Senior Provider Relations Representative - CGS

Join to apply for the Senior Provider Relations Representative - CGS role at Blue Cross Blue Shield of South Carolina
.

Summary

As a member of the DMEPOS (Durable Medical Equipment Prosthetics, Orthotics and Supplies) team you will provide education and training for network providers, staff, suppliers, physicians, beneficiaries, and referral agents as necessary. You will develop and produce all training and educational materials for virtual and onsite training classes.

Description

Logistics: CGS () – one of Blue Cross Blue Shield's South Carolina subsidiary companies.

Location: This is a full-time remote position (Tennessee, North Carolina, South Carolina, Georgia, Kentucky). You will work an 8-hour shift scheduled during our normal business hours of 8:00 a.m. – 5:00 p.m. Some overnight and weekend travel will be required for in-person conferences and presentations.

Government Clearance: This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen.

What You’ll Do

• Develops/prepares/reviews/updates all provider education materials. These may include: web-based training, computer-based training, ACT (ask the contractor) 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.

To Qualify For This Position, You'll Need The Following

• Required
  
  Education:
  
  Bachelor's degree equivalency: 4 years job related work experience or an Associate's and 2 years job related work experience.
• Required
  
  Skills and Abilities:
  
  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.
• Required Software and Tools:
  Microsoft Office.

We Prefer That You Have The Following

• Preferred
  
  Skills and Abilities:
  
  Experience developing virtual and onsite training classes. Medicare knowledge and experience. DMEPOS (Durable Medical Equipment Prosthetics, Orthotics and Supplies) experience.

Our Comprehensive Benefits Package Includes The Following

• 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 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…