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.
What We Do
At Blue Cross & Blue Shield of Mississippi, we work daily to help Mississippians find their personal answers to this question through health and wellness partnerships with quality healthcare providers, employer groups and community leaders across the state. Our goal is to help each person along their journey to a healthier life… their Blue Wellness Journey. Our health and wellness benefits are designed to support our members in understanding their health and in receiving the care they need at the right time and place, beginning with establishing a healthy relationship with a Primary Care Network Provider through an annual wellness visit at no out-of-pocket cost. We partner with our Network Providers to ensure the highest quality, evidence-based care is provided in each care setting from primary care to specialty care through our Primary Care Home, Blue Distinction+ Centers of Excellence and Maternity Care Quality initiatives. We partner with employer groups to make every workplace a healthy workplace by providing tools and information to help employees take ownership of their health and understand and make the most of their benefits, all while working to manage health and healthcare costs. We partner with community leaders and organizations to make healthy living resources available to all Mississippians through the work of the Blue Cross & Blue Shield of Mississippi Foundation, our support of the arts and culture and our Team Blue volunteers. These partnerships and our dedicated team of employees are making a difference every day, in our communities and in the lives of each person we reach. So, what does it mean to be healthy? The answer is about you, your health, your life… and all its possibilities. Live healthy. Live Blue.
