Provider Relations Manager

The Manager of Provider Relations, Provider Network Solutions (PNS) is responsible for overseeing and developing a team of Provider Relations Representatives I’s and/or II’s to ensure effective provider engagement and support across all lines of business. Reporting to the Director of Provider Relations, this role plays a critical part in educating, motivating, and managing relationships with external healthcare providers, contributing to the strategic goals of both the Provider Network Solutions division and the broader Blue Cross Blue Shield of Kansas (BCBSKS) organization.

• Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
• Lead and Inspire: Guide and mentor your team to achieve their full potential and success.
• Family Comes First
  :
  Total rewards package that promotes the idea of family first for all employees.
• Dynamic Work Environment: Collaborate with a team of passionate and driven individuals.

$135,440 - $169,300

Exempt grade 19

• Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The salary range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive salaries that align with the individual's skills, education, experience, and training.
  
  The range may vary above or below the stated amounts.

• Lead, mentor, and coach a team of Provider Relations Representatives to achieve department objectives. Foster an environment of collaboration, growth, and continuous improvement.
• Serve as a point of escalation for complex issues that may arise with providers, offering solutions and facilitating timely resolutions. Ensure clear and open communication between the provider network and internal stakeholders.
• Develop and maintain BCBSKS network of in-network providers for all lines of business.
• Develop and track key performance indicators (KPIs) to measure the effectiveness and productivity of the team. Continuously identifying areas for improvement and implement strategies to enhance team performance and provider satisfaction.
• Instructs provider relations representative in communication and contract work necessary for orientation/education for in-network providers for all lines of business currently contracted for.
• Contribute to the long-term growth and direction of the Provider Network Solutions division, working on projects and initiatives that improve network quality, provider experience, and overall operational efficiency.
• Field activity priorities related to provider education, conflict resolution, contracting and credentialing.
• Selects, trains and develops provider relations staff. Evaluates their potential and improves their performance through counseling, training, delegation, and mutual planning of their activities.
• Coordination and general direction of written communications and educational materials to assure accurate claims coding by providers.
• In collaboration with the other Provider Relations Managers and the Manager of Training and Education, develop innovative methods and materials such as brochures, audio-visual presentations, posters, manuals and guides to make educational programs and recruitment of in-network providers more effective.
• In collaboration with the other Provider Relations Managers and the Manager of Training and Education, implement and participate in training programs to improve the effectiveness of field staff.
• In collaboration with the other Provider Relations Mangers and the Director of Provider Relations, discusses medical, financial and administrative policy matters as they impact the provider network.
• With the collaboration of the other Provider Relations Managers and PNS Operations, provides direct input into the development of policies and procedures for the implementation of provider contracts and needed policy memo changes that needed to be completed and communicated. Including annual mailings of reimbursement and incentive program changes.
• Assists…