Your Role

The Provider Engagement team drives partnerships with providers that support membership growth and retention goals for the Blue Shield of California Promise Health Plan (BSCPHP) Medi-Cal Program. The Outreach Manager - Provider Engagement, Experienced will report to the Manager of Provider Engagement as part of the Community and Provider Engagement team (CAPE). In this role you will be responsible for building and strengthening relationships with providers and practice staff using an account management approach, providing assistance to address member and provider issues as a first level of escalation, and help to implement initiatives to improve provider satisfaction, experience, quality and health equity.

Your Work

In this role, you will:

• Be responsible for educating providers, practice staff and potential or existing members about BSCPHP programs, services, updated policies, and new initiatives in a variety of authorized settings
• Provide customer service support and assistance to rectify prospect, member and provider service problems
• Develop and implement outreach strategies (including field-based approaches) to build relationships and partnerships with providers and practice staff that support membership growth and retention goals
• Assist with implementing quality, customer service and other related initiatives to improve provider performance, satisfaction and experience
• Participate in special events to promote membership growth and retention
• Serve as a knowledgeable resource person to providers and practice staff about health plan and community resources
• Represent the Provider Engagement Team at various internal and external meetings with provider groups, industry associations, and other related stakeholders
• Track and report monthly engagements and correlated outcomes (demonstrate results)
• Discover and report out competitive findings in the marketplace

Your Knowledge and Experience

• Typically, 3 years of direct and relevant experience or relevant college degree
• Requires strong organizational skills, attention to detail and excellent written and verbal presentation skills
• Requires knowledge and experience with Provider Office environments
• Requires knowledge of Medi-Cal enrollment, eligibility and managed care
• Requires experience generating reports

Pay Range:

The pay range for this role is: $ 71280.00 to $ 99770.00 for California.

Note:

Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.