Senior Provider Demo Data Outreach Specialist

About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming health care. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.

This position is fully remote however preference will be given to local candidates.

The Impact You Will Have

This position is responsible for improving and maintaining the integrity of provider demographic data for provider directories. This role has responsibility for maintaining timely communication with external providers electronically, over the telephone, and in person. The position is also accountable for managing all documentation, work, and forms related to their assigned providers and specialties. In addition, this role has responsibility for training of Provider Demographic Data Outreach Specialists.

Your Responsibilities

• Stay current with regulatory and business requirements as it relates to provider demographic data.
• Lead and direct work to the specialists.
• Manage and share provider specific demographic reports with assigned providers on a quarterly basis; assigned providers are generally larger and more complex.
• Navigate and make limited updates to multifaceted systems using demographic data sourced from providers and other reliable sources.
• Manage and resolve escalated and complex situations.
• Lead the development and implementation of business and technical processes and procedures, including associate training.
• Maintain positive and timely communications with assigned providers and specialties.
• Lead internal business and external work groups as assigned.
• Works with providers directly, face to face and via other communication methods, to meet customers needs.
• Analyzes trends as needed on a daily, weekly and monthly basis and reviews with manager as appropriate.

Required Skills and Experiences

• 3+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
• Experience with training and writing processes and procedures.
• Advanced PC Skills and Microsoft Office (with emphasis on Excel spreadsheets).
• Strong collaborative, interpersonal, oral and written communication skills and demonstrated ability to build cross functional relationships.
• Exceptional critical thinking and accuracy proficiencies.

Preferred Skills and Experience

• Bachelor's degree.
• Experience in an operational support environment.
• Customer service experience in a health insurance call center.
• Document management experience.
• Training experience.
• Able to work from home most of the time.

Role Designation

Role designation definition: Teleworking is working full time remote. Hybrid is a combination of working onsite and remotely.  Onsite is full-time onsite.

Compensation and Benefits

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

• Medical, dental, and vision insurance

• Life insurance

• 401k

• Paid Time Off (PTO)

• Volunteer Paid Time Off (VPTO)

• And more

To discover more about what we have to offer, please review our benefits page.

Equal Employment Opportunity Statement

Blue Cross is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, gender expression, or any other legally protected characteristic.

Reasonable Accommodation for Job Seekers with a Disability: If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to talent.acquisition@bluecrossmn.com.

All roles require a high school diploma (or equivalency) and legal authorization to work in the U.S.

Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.