Provider Experience Consultant

About the role

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.

Responsibilities

• Developing and maintaining Network Provider relationships across the state
• Identifying quality improvements for Contact Blue inquiries received
• Developing trainings to educate Network Providers to better serve Members
• Leading education and monitoring of the Company’s value-based programming
• Using 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
• Receiving Network Provider feedback to identify opportunities to enhance the overall Network Provider experience
• Participating in recruiting and monitoring Network Providers participation in various corporately focused value-based programs

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
• Able to present and speak publicly
• Aptitude to communicate effectively at all levels of an organization
• Strong knowledge of Microsoft Office Suite
• Excellent verbal and written communication skills in order to effectively communicate with providers

Qualifications

• Overnight travel limited to the state of Mississippi may be required

Skills

• Effective communication skills
• Ability to present and speak publicly
• Knowledge of Microsoft Office Suite

Benefits

• Comprehensive benefits package
• Approximately one-third of the salary compensation in benefits
• Among the best benefits program in the health care field

Pay

• Details about pay are not specified

Schedule

• Details about schedule are not specified

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.