Jobs in the United States

25+ jobs

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Added 4 mins ago
MC
HRA Coordinator
Metropolitan Council
St Paul, MN
- $36.43 to $59.13 USD / hour
Metropolitan Council Housing and Redevelopment Authority (Metro HRA) administers the federal Housing Choice Voucher program and related programs on behalf of nearly 100 suburban and rural…
Added 4 mins ago
Workforce Training Coordinator
South Louisiana Community College
Crowley, LA
Department: Workforce & Economic Development and Continuing Education
Added 6 mins ago
ZT
2027 Summer Internship (US) - Software Engineer, AI Features & Product Convergence, Zebra Task Manager
Zebra Technologies Corporation
Kennesaw, GA
- $33 to $40.5 USD / hour
…various functions of the Zebra Technologies organization. The program is designed to provide students with experiences that provide insights into a career with Zebra. Students will be…
Added 7 mins ago
Caregiver- 2nd shift
LakeHouse Manitowoc
Manitowoc, WI
Counts all narcotics with another Medication Care Manager or Nurse each shift.
Added 7 mins ago
DO
TMC Technician - Graveyard
Department of Transportation
CA
- $3,951 to $7,063 USD / month
Under the supervision of the District Traffic Manager (a Senior Transportation Engineer), incumbent will monitor and analyze current traffic conditions to improve the safety and reliability…
Added 8 mins ago
W
Chief Operating Officer
WHEDco
Bronx, NY
- $175,000 to $200,000 USD / year
Location: Various WHEDco Buildings and Program Sites in the Bronx / Hybrid
Added 8 mins ago
CS
Campus Director of Workforce Development and Continuing Education
Connecticut State Community College
Danielson, CT
- $84,997 USD / year
The Campus Director of Workforce Development and Continuing Education performs a full range of duties related to strategic development and delivery of occupational, non-credit certificates,…
Added 10 mins ago
Fertility RN Case Manager
US Fertility
Atlanta, GA
We have an immediate opening for an Fertility RN Case Manager to join our team at Shady Grove Fertility in Sandy Springs, Georgia.
Added 12 mins ago
Quality Programs Manager
Lifetime Workforce Solutions, LLC
United States
…internal and external stakeholders in all matters related to program. The Program Manager provides leadership and direction to ensure the program submissions are delivered according to…
Added 14 mins ago
Maritime Training Program Manager
Harkcon Inc
Remote, United States
We are seeking an experienced Program Manager to lead a complex federal training and workforce-performance initiative in a maritime or other regulated technical environment. The successful…
Added 15 mins ago
Fertility RN Case Manager
Shady Grove Fertility
Atlanta, GA
We have an immediate opening for an Fertility RN Case Manager to join our team at Shady Grove Fertility in Sandy Springs, Georgia.
Added 15 mins ago
DE
Curriculum Project Manager
Discovery Education
United States
- $91,250 to $101,500 USD / year
We are looking for a highly skilled Curriculum Project Manager to independently manage a portfolio of moderately complex curriculum initiatives across our core product ecosystem, including…
Added 17 mins ago
GD
Environmental Health County Manager
Georgia Department of Public Health (GA)
Decatur, GA
- $65,843.44 USD / year
Under broad supervision, directs, manages, and evaluates countywide environmental health programs and personnel within the Division of Environmental Health. Provides leadership and…
Added 19 mins ago
Specialist - Admissions
Harper College
Palatine, IL
Meet recruitment objectives and assist in the enrollment goals as established by Harper College, the Director of Outreach and the Admissions Manager
Added 19 mins ago
OR
Wireless Retail Sales Associate - W2399
OSL Retail Services Inc
MANCHESTER, NH
- $19 USD / hour
Benefit from sales incentives, career development opportunities, and an employee referral program.
Added 19 mins ago
OR
Wireless Retail Sales Associate - W2222
OSL Retail Services Inc
TEWKSBURY, MA
- $20 USD / hour
Benefit from sales incentives, career development opportunities, and an employee referral program.
Added 19 mins ago
OR
Wireless Retail Sales Associate - W2282
OSL Retail Services Inc
EAST WINDSOR, CT
- $19.94 USD / hour
Benefit from sales incentives, career development opportunities, and an employee referral program.
Added 19 mins ago
Store Supervisor - Bridgewater Regional
TD Bank, N.A.
Bridgewater, NJ
…Customer and Sales objectives. In the absence of any other manager, the role is expected to manage the Store and have the ability to run the teller side, platform, and Customer escalations.…
Added 19 mins ago
Senior Marketing Manager, Digital Channels Planning
TD Bank, N.A.
Mount Laurel, NJ · NY · Charlotte, NC
The Senior Marketing Manager is a top-level marketing expert that manages/leads development and/or execution of marketing large scope plans/programs/projects/strategies by designing and…
Added 24 mins ago
Director - Business Development - Online
Ancora Education
Remote, United States
Build and manage employer and community partner relationships to identify workforce training needs across Online platforms, skilled trades, and customized programs.
Added 24 mins ago
E
Youth Coordinator
Equus
Dubuque, IA
- $25 to $27 USD / hour
We are a nationally and internationally respected leader in workforce training, consulting, management, and administrative services. From supporting job seekers facing barriers to…
Added 27 mins ago
Business Enterprise Program Director
State of Delaware
Dover, DE
Knowledge of program administration such as overseeing and directing the development, implementation and evaluation of programs and services; planning and establishing short and long range…
Added 33 mins ago
MILES-Program Supervisor-Contingency
Trinzic
Albany, GA
Experience managing onboarding, workforce development, and training programs for large labor forces.
Added 33 mins ago
MILES-Operations Program Manager-Contingency
Trinzic
Albany, GA
KBR is seeking an Operations Program Manager to provide overall leadership, management, and operational oversight for a contract supporting multiple performance locations, with the primary…
Added 33 mins ago
VR
Veteran Employment Counselor
Vocational Rehabilitation Specialists
Madison, WI
- $22 to $27 USD / hour
Case Manager/Employment Specialist – Homeless Veterans' Reintegration Program (HVRP)

BSC

Provider Relations Representative, Senior - Behavioral Health Call Center

Rancho Cordova, CA, United States
CA, United States
Long Beach, CA, United States
El Dorado Hills, CA, United States
Lodi, CA, United States
Oakland, CA, United States
Redding, CA, United States
San Diego, CA, United States
Woodland Hills, CA, United States

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Job details

Posting language: English
Posted: Nov 3, 2026

Original job description

Your Role The Behavioral Health Network Management team is responsible for the state-wide behavioral health program at Blue Shield of California (BSC). This includes managing a directly contracted behavioral health provider network. The Provider Relations Representative, Senior will report to the Behavioral Health Provider Relations Manager. In this role you will be one of several team members who will be leading the effort to reimagine how we deliver behavioral health services to our Commercial, Medicare, and Medi-Cal membership. This behavioral health call center role combines provider support, issue resolution, relationship building, and administrative coordination to ensure a seamless provider experience. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Work

In this role, you will:

Work in a call center environment throughout the workday, continuously answering a high volume of incoming provider calls routed through an assigned call queue
Work in a group mailbox answering a high volume of provider emails
Handle general inquiries, complaints and concerns with poise and diplomacy in a timely and professional manner and provide accurate, helpful information
Escalate complex or unresolved issues to the appropriate department or manager
Maintain detailed call records and log provider interactions in the system
Develop and maintain good working relationships with the provider community to resolve questions or problems such as contract interpretation and product/program implementation
Ensure provider compliance with company policies, regulatory requirements, and contractual agreements
Coordinate with project teams to identify potential network participants and promote provider participation in BSC programs and networks
Assist with provider negotiations; may negotiate selected agreements
Conduct orientations, training, and education to the provider community as needed
Collaborate with project teams to send out contracting packets
Prioritize work in dedicated project mailboxes based on current business needs
Receive and process contracting documents to ensure completeness, accurate tracking, and required reporting
Make outreach calls to providers when needed to obtain missing information and documentation
Perform screenings for Medi-Cal and Medicare enrollment and credentialing status

Your Knowledge and Experience

Requires a Bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
Requires 5 years of prior relevant experience working in a managed care setting and interacting regularly with providers over the phone
Excellent written and verbal communications skills
Strong analytical skills, time management skills, and organizational skills
Strong customer service and problem-solving skills
Proficiency in Outlook, Word, Excel, and Adobe Acrobat
Self-starter who works well independently or with a team

Hybrid Virtual Work This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.

About Blue Shield of California

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.

At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!

Our Values:

Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Our Workplace Model

We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:

• For most teams, this means coming into the office two days per week.

• Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.

• For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Please click here for further physical requirement detail.

Equal Employment Opportunity:

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

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