Provider Relations Representative - Medicare Advantage

October 30, 2026

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Deep Roots. Solid Growth. Caring People.

Rooted in Wyoming! We are Blue Cross Blue Shield Wyoming: a not-for-profit health insurer with offices throughout the state. Ever since a small group of caring, persistent Wyoming women helped us put down roots in 1945, everything we do is aimed at better health care for the people of Wyoming.

Our Vision: We envision a future where integrity, compassion, and trust define a local health insurance experience. Committed to doing the right thing for our members, employees, and community, we strive to protect and contribute to the health and care of all we serve.

Our Mission: provide our members with access to local health insurance solutions that prioritize health, care, and well-being for those who call Wyoming home.

If our passion and purpose resonate with you, you may be who we are looking for. The role we are looking to fill:

Provider Relations Representative

As a Medicare AdvantageProvider Relations Representative with the BCBSWY Provider Relations Team, you will play an essential role in ensuring best-in-class service to our providers. Are you ready to showcase your customer service skills in an organization recognized within the industry for providing superior provider experience?

By stepping into a Medicare Advantage Provider Relations Representative role, you will have the opportunity to make a positive difference every day! Help providers by responding to questions, research issues they may have, connect them with the resources they may need.

Our Provider Relations representatives are equipped with the necessary tools and support to answer provider questions. Our Provider Relations Representatives are provided breaks and meal-times to ensure time to step away, while enabling the team to provide continuous high-quality service.

As a recognized BCBSWY employee, we count on you to positively serve in the role of"Brand Ambassador"within the local community and/or geographical region. To your friends and neighbors - you AREBlue Cross Blue Shield Wyoming!

To be successful in this role, you will need to invest in learning our products and services, be dedicated to provider service, handle phone contact with providers and their office staff who may be experiencing a variety of situations, be comfortable accessing and utilizing multiple systems to respond and research provider inquiries and apply solid judgement as to when to escalate if needed.

Minimum qualifications include an earned High School diploma or equivalent; prior experience with accessing multiple database systems is helpful. As a new Provider Relations Representative, you will be provided on-the-job training on our systems, products, and services. You will learn from skilled co-workers and dedicated leadership! With BCBSWY Provider Relations - you are a part of a caring team.

BCBSWY Employees Enjoy:

Best-In-Class Health Insurance at minimal to no-cost for BCBSWY employees! PLUS many other benefits along with highly competitive compensation!

Our compensation program is reviewed for competitive market match on an annual basis and employees are eligible for annual merit increases. Monthly incentives that are based on individual and company performance are also available to eligible employees and members of our Sales Team can realize generous performance-based commissions.

At BCBSWY our employees are provided best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include medical, dental, vision, 401(k), life insurance, paid time off (PTO), 10 paid holidays in addition to PTO annually, plus 8 paid volunteer hours, various wellness programs, and a dress code of "Dress for Your Day!" which can mean jeans every day (depending on your role).

Serving Those Who Call Wyoming Home.

Our positions are all based in Wyoming. Depending on the department and the position, eligible employees may be offered limited In-Office/WFH flexibility (for those positions that are offered limited WFH, there will be a required number of In-Office days per week/month depending on department). Executive level employees are required to reside full-time in Wyoming.

Our Selection Process:

Typically includes the following (NOTE: process steps may differ depending on role applied for)

Review of your completed application and any additional submitted materials (e.g., cover letter, certifications, etc.) for minimum qualifications and skills alignment.
Confirmation of Wyoming residency, intent to become a Wyoming resident, or reasonable commuter distance if Colorado resident.
Recruiter Phone Screen.
Possible Self-Assessment and/or Questionnaire.
Initial interview with Hiring Manager.
Possible 2nd Interview with Hiring Manager and/or additional Team members.
Comprehensive Background Check.

BCBSWY is an Equal Opportunity Employer. We do not discriminate based on race, color, religion, national origin, sex, age, disability, genetic information, or any other status protected by law or regulation. Qualified applicants are provided with an equal opportunity and selection decisions are based on job-related factors.

We use E-Verify to confirm employment eligibility; we DO NOT sponsor applicants for work visas.

BCBSWY is committed to the full inclusion of all qualified individuals. As part of this commitment, we will ensure that persons with disabilities are provided reasonable accommodations for the application, selection, and hiring process. If reasonable accommodation is needed, please contact: HR@BCBSWY.com

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...