H-1B Visa Provider Relations Representative Jobs
Provider Relations Representative roles sit at the intersection of healthcare operations and network management, making them strong candidates for H-1B specialty occupation classification when the position requires a bachelor's degree in healthcare administration, business, or a related field. Employers in managed care, hospital systems, and insurance networks regularly sponsor H-1B visas for this role.
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Get Access To All JobsINTRODUCTION
We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross.
Residency in or relocation to Louisiana is preferred for all positions.
POSITION PURPOSE
Extensive contact with all provider types to educate providers on Plan networks, policies and procedures, product lines, system capabilities, managed care requirements, billing guidelines, and reimbursement programs. Acts as a liaison between provider community and plan representatives to address complex claims. Promotes e-Business capabilities and establishes contractual arrangements with the provider community to decrease Plan administrative costs and expenses. Provides on-site electronic systems consultations and individual and group training to optimize system performance.
NATURE AND SCOPE
- This role does not manage people
- This role reports to this job: MANAGER, PROVIDER RELATIONS
- Necessary Contacts: In order to effectively fulfill this position, the incumbent must be in contact with: All levels of Plan management, EDI, Network Development, Network Operations, Provider Reimbursement, Marketing, Legal, and Benefits Administration; externally with Providers and office staff personnel.
QUALIFICATIONS
Education
- Bachelor's degree in business, healthcare or a related field is required.
- Four years of related experience can be used in lieu of a Bachelor’s degree.
Work Experience
- 2 years of experience in the health care industry, focusing on customer service and establishing/maintaining business relationships with the provider community is required. Prefer 4 years of experience.
Skills and Abilities
- Knowledge of managed care and provider referral processes required.
- Thorough knowledge and understanding of the Plan's e-Business capabilities, policies/procedures, product lines, claims processing, billing requirements, provider reimbursement systems and contractual agreements required.
- Excellent organizational skills required.
- Ability to prioritize multiple projects required.
- Excellent public speaking, communication and interpersonal skills are required.
- A high level of patience, empathy, and courtesy is required to deal with customers.
- Excellent listening skills are required to effectively understand and address problems presented by the provider community.
- Requires working knowledge of relevant PC software, mainframe capabilities and relevant office equipment.
- This job requires travel throughout the state 60-75% of the time with primary responsibility for assigned territory.
Licenses and Certifications
- None Required
ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS
- Provides on-site education to Providers regarding the policies and procedures of conducting business with BCBSLA; resolves complex customer service related issues; and promotes provider satisfaction as outlined in the Provider Services Departmental Program. Demonstrated basic understanding of all contractual provisions in Plan provider agreements. Recommends changes to Plan’s systems, policies and procedures to improve provider satisfaction.
- Promotes e-Business capabilities and establishes contractual arrangements with providers. Provides on-site electronic systems consultations and individual and group training to optimize system performance.
- Assesses providers' educational needs and conducts educational presentations to address those needs. Organizes and conducts statewide instructional and promotional seminars/workshops to ensure provider satisfaction.
- Prepares and submits weekly reports detailing feedback from providers regarding Plan's service, e-Business capabilities, recommendations to management for enhancing provider service capabilities, and specific educational needs related to Blue Cross Blue Shield products, policies and procedures. Reports significant service failure issues of a presidential nature to management for review and resolution.
- Frequent overnight travel required. Ability to travel in a car for more than 2 hours at a time.
Additional Accountabilities and Essential Functions
The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions.
- Perform other job-related duties as assigned, within your scope of responsibilities.
- Job duties are performed in a normal and clean office environment with normal noise levels.
- Work is predominately done while standing or sitting.
- The ability to comprehend, document, calculate, visualize, and analyze are required.
An Equal Opportunity Employer
All BCBSLA EMPLOYEES please apply through Workday Careers.
PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI)
Additional Information
Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account.
If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance.
In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free.
Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.
Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.
INTRODUCTION
We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross.
Residency in or relocation to Louisiana is preferred for all positions.
POSITION PURPOSE
Extensive contact with all provider types to educate providers on Plan networks, policies and procedures, product lines, system capabilities, managed care requirements, billing guidelines, and reimbursement programs. Acts as a liaison between provider community and plan representatives to address complex claims. Promotes e-Business capabilities and establishes contractual arrangements with the provider community to decrease Plan administrative costs and expenses. Provides on-site electronic systems consultations and individual and group training to optimize system performance.
NATURE AND SCOPE
- This role does not manage people
- This role reports to this job: MANAGER, PROVIDER RELATIONS
- Necessary Contacts: In order to effectively fulfill this position, the incumbent must be in contact with: All levels of Plan management, EDI, Network Development, Network Operations, Provider Reimbursement, Marketing, Legal, and Benefits Administration; externally with Providers and office staff personnel.
QUALIFICATIONS
Education
- Bachelor's degree in business, healthcare or a related field is required.
- Four years of related experience can be used in lieu of a Bachelor’s degree.
Work Experience
- 2 years of experience in the health care industry, focusing on customer service and establishing/maintaining business relationships with the provider community is required. Prefer 4 years of experience.
Skills and Abilities
- Knowledge of managed care and provider referral processes required.
- Thorough knowledge and understanding of the Plan's e-Business capabilities, policies/procedures, product lines, claims processing, billing requirements, provider reimbursement systems and contractual agreements required.
- Excellent organizational skills required.
- Ability to prioritize multiple projects required.
- Excellent public speaking, communication and interpersonal skills are required.
- A high level of patience, empathy, and courtesy is required to deal with customers.
- Excellent listening skills are required to effectively understand and address problems presented by the provider community.
- Requires working knowledge of relevant PC software, mainframe capabilities and relevant office equipment.
- This job requires travel throughout the state 60-75% of the time with primary responsibility for assigned territory.
Licenses and Certifications
- None Required
ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS
- Provides on-site education to Providers regarding the policies and procedures of conducting business with BCBSLA; resolves complex customer service related issues; and promotes provider satisfaction as outlined in the Provider Services Departmental Program. Demonstrated basic understanding of all contractual provisions in Plan provider agreements. Recommends changes to Plan’s systems, policies and procedures to improve provider satisfaction.
- Promotes e-Business capabilities and establishes contractual arrangements with providers. Provides on-site electronic systems consultations and individual and group training to optimize system performance.
- Assesses providers' educational needs and conducts educational presentations to address those needs. Organizes and conducts statewide instructional and promotional seminars/workshops to ensure provider satisfaction.
- Prepares and submits weekly reports detailing feedback from providers regarding Plan's service, e-Business capabilities, recommendations to management for enhancing provider service capabilities, and specific educational needs related to Blue Cross Blue Shield products, policies and procedures. Reports significant service failure issues of a presidential nature to management for review and resolution.
- Frequent overnight travel required. Ability to travel in a car for more than 2 hours at a time.
Additional Accountabilities and Essential Functions
The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions.
- Perform other job-related duties as assigned, within your scope of responsibilities.
- Job duties are performed in a normal and clean office environment with normal noise levels.
- Work is predominately done while standing or sitting.
- The ability to comprehend, document, calculate, visualize, and analyze are required.
An Equal Opportunity Employer
All BCBSLA EMPLOYEES please apply through Workday Careers.
PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI)
Additional Information
Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account.
If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance.
In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free.
Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.
Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.
See all Provider Relations Representative jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Provider Relations Representative
Confirm your role meets specialty occupation
Pull the O*NET profile for Provider Relations Representative to document the degree requirements tied to the occupation. USCIS requires your specific position to demand at least a bachelor's degree in a directly related field, so generic job duties won't hold up without that documentation.
Target managed care organizations over staffing firms
Health plans, regional HMOs, and hospital network management divisions file LCAs directly as cap-subject employers. Staffing agency placements add H-1B dependency complexity, which tightens prevailing wage obligations and can slow your petition timeline significantly.
Look up prevailing wages before negotiating your offer
Use the OFLC Wage Search to check the Level I through Level IV wage tiers for your metro area before your offer letter arrives. Employers must pay at least the prevailing wage on your certified LCA, so knowing the floor helps you evaluate whether an offer is compliant.
Filter for verified H-1B sponsors on Migrate Mate
Search Provider Relations Representative roles on Migrate Mate to see employers with confirmed H-1B LCA filing history in healthcare network management. That history signals both sponsorship willingness and familiarity with the DOL certification process for your occupation.
Clarify H-1B transfer timing before your 60-day window closes
If you're leaving an H-1B job, a new employer can file a transfer petition and you can start working upon receipt, but only if you've maintained valid status. Don't wait until your last day to confirm your prospective employer is ready to file.
Request employer E-Verify enrollment confirmation early
STEM OPT employers must be E-Verify enrolled, and many healthcare networks already are, but verify it before you accept an offer if you're bridging from OPT. An employer that isn't enrolled can't legally employ you on STEM OPT while your H-1B petition is pending.
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Find Provider Relations Representative JobsProvider Relations Representative H-1B Visa: Frequently Asked Questions
Does a Provider Relations Representative role qualify as a specialty occupation for H-1B purposes?
It can qualify, but the employer must demonstrate that the specific position requires at least a bachelor's degree in a directly related field, such as healthcare administration, business administration, or a clinical discipline. Roles at larger health plans and managed care organizations tend to have clearer degree requirements tied to the job duties, which strengthens the specialty occupation argument. Generic or entry-level coordinator titles with no degree requirement in the job posting are harder to support.
Which types of employers sponsor H-1B visas for this role?
Managed care organizations, regional health plans, hospital networks, and large physician management groups are the most active sponsors for Provider Relations Representative positions. These employers deal with credentialing, contract negotiation, and network compliance at scale, which creates sustained demand for the role. You can browse employers with verified H-1B LCA filing history for this occupation on Migrate Mate before targeting your applications.
How does the H-1B prevailing wage apply to Provider Relations Representative positions?
Your employer must certify through a Labor Condition Application that they'll pay you at least the prevailing wage for your occupation and work location before USCIS will approve the petition. The DOL sets four wage levels based on experience and supervisory responsibilities. Use the OFLC Wage Search to look up the current wage tiers for your metro area so you can evaluate any offer against the legal minimum before signing.
Can I transfer my H-1B to a new employer if I change provider relations jobs?
Yes, H-1B portability lets you move to a new employer once they file a transfer petition with USCIS and you receive the receipt notice, as long as your previous H-1B was approved and you've maintained valid status. You can start the new job upon receipt without waiting for approval. The key is timing: your new employer needs to have the petition ready to file on or before your last day with the previous employer.
Does working remotely affect my H-1B status as a Provider Relations Representative?
Remote work creates a worksite location issue under H-1B rules. Your employer's LCA must cover the geographic area where you actually work, not just their headquarters. If you'll be working from home in a different metro area than the one listed on your LCA, your employer may need to file an amended petition with USCIS and a new LCA for your home location. Confirm this with your employer before agreeing to any remote arrangement.
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