Manager Provider Relations

At Blue Cross and Blue Shield of Nebraska, we are a mission-driven organization dedicated to championing the health and well-being of our members and the communities we serve.

Our team is the power behind that promise. And, as the industry rapidly evolves and we seek ways to optimize business processes and customer experiences, there's no greater time for forward-thinking professionals like you to join us in delivering on it! As a member of Team Blue, you'll find purpose, opportunities and the support you need to build a meaningful career and make a powerful impact in our community.

The Provider Relationship Manager will serve as a representative to the provider community across various regions. The individual leads a team focused on building key relationships with providers, to continue positive relationships with BCBSNE. Candidates will be responsible for managing teams, conducting provider training through webinars and onsite forums, participate in strategic planning, and reporting key insights to internal leaders.

• Applicants for this role must reside within the state of Nebraska.
• This role will require approximately one visit per month to our office located in Omaha, NE.

What you'll do:

• Lead and manage teams of Provider Relationship Executives supporting providers in PHOs, ACOs, various zip codes (including dental), ensuring they have the resources and support needed to succeed.
• Develop and implement processes to enhance provider experience and satisfaction, aligning with the organization's goals and objectives.
• Build and maintain strong relationships with key healthcare providers, ensuring their needs are met and concerns are addressed promptly.
• Serve as the primary point of contact between providers and the organization, effectively communicating updates, policies, and feedback.
• Monitor and evaluate the performance of Provider Relationship Executives, providing guidance, feedback, and professional development opportunities.

To be considered for this position, you must have:

• Bachelor's degree in related field and five (5) years' experience within health network operations with direct management experience.
• Experience in and understanding of the health care industry, professional, and facility reimbursement, knowledge and insight to emerging healthcare delivery models, and billing practices.

An equivalent combination of education and experience may be substituted for this requirement. The ability to meet or exceed the attendance and timeliness requirements of their departments.

The ability to work well in a team environment and be capable of building and maintaining positive relationships with other staff, departments, and customers.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and or ability required.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned.

Learn more about what makes BCBSNE such an exceptional place to work by visiting NebraskaBlue.com/Careers.

We strongly believe that diversity of experience, perspective and background will lead to a better workplace for our employees and a better product for our customers and members.