... Independence Blue Cross and subsidiaries. There are multiple elements of discrete work that may ... care providers. The Medical Director will exercise sound decision making based on clinical ...

60 Independence Blue Cross Provider Relations Representative Jobs Hiring Near You
... Independence Blue Cross and subsidiaries. There are multiple elements of discrete work that may ... care providers. The Medical Director will exercise sound decision making based on clinical ...
Actuarial Analyst I
Philadelphia, PA · On-site
Must have Exams P & FM Completed At Independence Blue Cross, all qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national ...
Actuarial Analyst I
Philadelphia, PA · On-site
Must have Exams P & FM Completed At Independence Blue Cross, all qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national ...
Corporate Accounting at Independence Blue Cross (IBX) is responsible for ensuring the accuracy ... This role provides hands-on experience in a regulated healthcare finance environment and exposure ...
Corporate Accounting at Independence Blue Cross (IBX) is responsible for ensuring the accuracy ... This role provides hands-on experience in a regulated healthcare finance environment and exposure ...
Provider Specialist
Philadelphia, PA · On-site
Provider Specialist The Provider Specialist is responsible for troubleshooting issues, providing detailed information related to claims, coverage, and benefit plans, and ensuring provider concerns ...
Provider Specialist
Philadelphia, PA · On-site
Provider Specialist The Provider Specialist is responsible for troubleshooting issues, providing detailed information related to claims, coverage, and benefit plans, and ensuring provider concerns ...
Provider Specialist
Philadelphia, PA · On-site
The Provider Specialist is responsible for troubleshooting issues, providing detailed information related to claims, coverage, and benefit plans, and ensuring provider concerns are resolved in a ...
Provider Specialist
Philadelphia, PA · On-site
The Provider Specialist is responsible for troubleshooting issues, providing detailed information related to claims, coverage, and benefit plans, and ensuring provider concerns are resolved in a ...
Business Analyst AHA
Philadelphia, PA · On-site
Provide solution and coordinate with appropriate team members to repair the claim and provide re ... Represent Department as SME in meetings, projects and company initiatives * Communicate with other ...
Business Analyst AHA
Philadelphia, PA · On-site
Provide solution and coordinate with appropriate team members to repair the claim and provide re ... Represent Department as SME in meetings, projects and company initiatives * Communicate with other ...
Senior Stop Loss Representative
Philadelphia, PA · On-site
$19.50 - $26.75/hr
The SR. Stop Loss Representative is responsible for the administration and reporting for branded (Blue) and unbranded (AmeriHealth) customers for Independence, Independence Administrators, and ...
Senior Stop Loss Representative
Philadelphia, PA · On-site
$19.50 - $26.75/hr
The SR. Stop Loss Representative is responsible for the administration and reporting for branded (Blue) and unbranded (AmeriHealth) customers for Independence, Independence Administrators, and ...
Independently researches, analyzes, and addresses provider issues and concerns to achieve expected goals/outcomes within the set timeframes. Proactively educates providers on new initiatives and ...
Independently researches, analyzes, and addresses provider issues and concerns to achieve expected goals/outcomes within the set timeframes. Proactively educates providers on new initiatives and ...
Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion ...
Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion ...
Independently researches, analyzes, and addresses provider issues and concerns to achieve expected goals/outcomes within the set timeframes. Proactively educates providers on new initiatives and ...
Independently researches, analyzes, and addresses provider issues and concerns to achieve expected goals/outcomes within the set timeframes. Proactively educates providers on new initiatives and ...
Independently researches, analyzes, and addresses provider issues and concerns to achieve expected goals/outcomes within the set timeframes. Proactively educates providers on new initiatives and ...
Independently researches, analyzes, and addresses provider issues and concerns to achieve expected goals/outcomes within the set timeframes. Proactively educates providers on new initiatives and ...
Independently researches, analyzes, and addresses provider issues and concerns to achieve expected ... Experience 3-5 years of provider relations, or managed care contracting experience. Claims ...
Independently researches, analyzes, and addresses provider issues and concerns to achieve expected ... Experience 3-5 years of provider relations, or managed care contracting experience. Claims ...
Actuarial Analyst II
Philadelphia, PA · On-site
At Independence Blue Cross, all qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected ...
Actuarial Analyst II
Philadelphia, PA · On-site
At Independence Blue Cross, all qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected ...
Independently researches, analyzes, and addresses provider issues and concerns to achieve expected goals/outcomes within the set timeframes. Proactively educates providers on new initiatives and ...
Independently researches, analyzes, and addresses provider issues and concerns to achieve expected goals/outcomes within the set timeframes. Proactively educates providers on new initiatives and ...
Independently researches, analyzes, and addresses provider issues and concerns to achieve expected ... Experience 3-5 years of provider relations, or managed care contracting experience. Claims ...
Independently researches, analyzes, and addresses provider issues and concerns to achieve expected ... Experience 3-5 years of provider relations, or managed care contracting experience. Claims ...
Independently researches, analyzes, and addresses provider issues and concerns to achieve expected goals/outcomes within the set timeframes. Proactively educates providers on new initiatives and ...
Independently researches, analyzes, and addresses provider issues and concerns to achieve expected goals/outcomes within the set timeframes. Proactively educates providers on new initiatives and ...
The Quality Coach supports Supervisors and Managers in the Independence Blue Cross Family of ... Coaching/Evaluation - 50% § Conducts coaching observations and provides verbal and written ...
The Quality Coach supports Supervisors and Managers in the Independence Blue Cross Family of ... Coaching/Evaluation - 50% § Conducts coaching observations and provides verbal and written ...
Independently researches, analyzes, and addresses provider issues and concerns to achieve expected ... Experience 3-5 years of provider relations, or managed care contracting experience. Claims ...
Independently researches, analyzes, and addresses provider issues and concerns to achieve expected ... Experience 3-5 years of provider relations, or managed care contracting experience. Claims ...
Summary The Provider Partnership Support Specialist (PPSS) supports day-to-day provider service functions, including but not limited to provider data changes, VEDA data accuracy outreaches, BCBS ...
Summary The Provider Partnership Support Specialist (PPSS) supports day-to-day provider service functions, including but not limited to provider data changes, VEDA data accuracy outreaches, BCBS ...
Self-starter, highly motivated problem solver with the ability to work independently. * Ability to ... Cross-functional team collaboration abilities are required. IBX is an Equal Opportunity Employer.
Self-starter, highly motivated problem solver with the ability to work independently. * Ability to ... Cross-functional team collaboration abilities are required. IBX is an Equal Opportunity Employer.
Independence Blue Cross Jobs Information
Do workers at Independence Blue Cross get paid breaks?
38% of people say they don’t get paid breaks.
Based on data from 21 people who took the Breakroom Quiz between December 2024 and August 2026.
Does Independence Blue Cross pay people when they’re sick?
96% of people say they would get paid if they were sick but scheduled to work.
Based on data from 25 people who took the Breakroom Quiz between December 2024 and August 2026.
At Independence Blue Cross, are sick days and vacation days separate paid time off?
100% of people say they have to use vacation days when they’re out sick.
Based on data from 12 people who took the Breakroom Quiz between June 2025 and August 2026.
Is the health insurance from Independence Blue Cross affordable enough for their workers?
95% of people say the health insurance costs are okay
Based on data from 19 people who took the Breakroom Quiz between March 2025 and August 2026.
Do people get paid time off at Independence Blue Cross?
100% of people say they get paid time off.
Based on data from 12 people who took the Breakroom Quiz between June 2025 and August 2026.
Do workers at Independence Blue Cross worry about hours?
100% of people report they don’t worry about getting enough hours.
Based on data from 16 people who took the Breakroom Quiz between December 2024 and January 2026.
Do Independence Blue Cross workers get to choose the shifts they work?
46% report that they don’t have enough control over which shifts they work.
Based on data from 13 people who took the Breakroom Quiz between January 2025 and January 2026.
How easy is it for Independence Blue Cross workers to change shifts?
43% of people report that it’s hard to change shifts if they need to.
Based on data from 7 people who took the Breakroom Quiz between April 2025 and January 2026.
How easy is it to get time off at Independence Blue Cross?
78% of people report it’s easy to get time off.
Based on data from 23 people who took the Breakroom Quiz between December 2024 and August 2026.
Do Independence Blue Cross managers change schedules at the last minute?
100% of people say their manager doesn’t change their shift schedule at the last minute.
Based on data from 16 people who took the Breakroom Quiz between December 2024 and January 2026.
Do jobs at Independence Blue Cross spill into time workers aren’t paid for?
7% of people report that their job takes up time that they don’t get paid for.
Based on data from 15 people who took the Breakroom Quiz between December 2024 and January 2026.
How easy is it to take sick days at Independence Blue Cross?
92% of people report that it’s easy to take time off if they are sick.
Based on data from 25 people who took the Breakroom Quiz between December 2024 and August 2026.
Is working at Independence Blue Cross good if you’re a parent or caregiver?
100% of people who care for a child or other relative report this is a good place to work.
Based on data from 9 people who took the Breakroom Quiz between January 2025 and July 2026.
Do people at Independence Blue Cross feel treated with respect by their managers?
91% of people say they’re treated with respect by their managers.
Based on data from 22 people who took the Breakroom Quiz between December 2024 and August 2026.
Do people at Independence Blue Cross get to take their breaks without interruption?
87% of people report that they get to take their breaks without interruption.
Based on data from 23 people who took the Breakroom Quiz between January 2025 and August 2026.
Is it stressful to work at Independence Blue Cross?
62% of people say they often feel stressed out at work.
Based on data from 26 people who took the Breakroom Quiz between December 2024 and August 2026.
Do people at Independence Blue Cross enjoy their jobs?
40% of people report they don’t enjoy their job.
Based on data from 20 people who took the Breakroom Quiz between January 2025 and August 2026.
Do people at Independence Blue Cross recommend working with their team?
38% of people report that they wouldn’t recommend working with their immediate team to a friend.
Based on data from 26 people who took the Breakroom Quiz between December 2024 and August 2026.
Do people get enough training when they start at Independence Blue Cross?
83% of people report they got enough training when they started working here.
Based on data from 24 people who took the Breakroom Quiz between December 2024 and August 2026.
Do people get support to advance at Independence Blue Cross?
In the last year, 76% of people report being given support to advance their career here.
Based on data from 25 people who took the Breakroom Quiz between December 2024 and August 2026.
Do people think Independence Blue Cross’s headquarters understands what’s happening where they work?
86% of people think that this employer’s headquarters or owners don’t have a good understanding of what’s really happening where they work.
Based on data from 22 people who took the Breakroom Quiz between December 2024 and August 2026.
Do workers feel well informed about how Independence Blue Cross is doing?
83% of people feel that they are kept well informed about how the company is doing as a whole.
Based on data from 23 people who took the Breakroom Quiz between December 2024 and August 2026.
What other companies are hiring for Provider Relations Representative jobs?
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Full-time
Re-posted yesterday
Independence Blue Cross rating
8.8
Based on 26 frontline employees who took The Breakroom Quiz
57th of 307 rated insurance
Job description
Schedule: 5 days (Mon-Fri, 8:30-5p), ** on-call requirement: Saturday and Sunday full workday, approx. every 12 weeks, depending on number of MDR's.
The Medical Director serves as a physician leader responsible for promoting the delivery of safe and effective medical care in the most cost-effective way for the health plans offered by Independence Blue Cross and subsidiaries. There are multiple elements of discrete work that may fall under the role including:
Utilization Management
The physician directly supports Utilization Management and Care Management and other business activities where involvement of a physician is determined to be in the best interest of Independence. The Medical Director will be responsible for rendering coverage and payment determinations based on the terms and conditions of the health plans for which Independence serves as claims administrator, and on the terms and conditions of contracts executed between Independence and networks of participating health care providers.
The Medical Director will exercise sound decision making based on clinical guidelines for best practices, a strong knowledge of clinical medicine, the practical realities of the delivery of health care in the state of Pennsylvania, and a thorough understanding of the principles of population health, quality management, patient safety and health insurance. The Medical Director will be expected to effectively collaborate with professional staff, senior leadership, management and associates and with external partners to promote the delivery of cost-effective health care across all lines of business.
Required Qualifications and Experience:
- We require a Medical Doctor or Doctor of Osteopathy degree from a medical school or osteopathic medical school recognized by the American Association of Medical Colleges (AAMC), the American Osteopathic Association (AOA), or the World Health Organization (WHO).
- Has an unrestricted and unencumbered Pennsylvania license to practice clinical medicine or osteopathic medicine.
- Current Board Certification by ABMS or AOBMS - family medicine, internal medicine or pediatrics board certification preferred
- Ability to successfully complete Independence Blue Cross credentialing process
Fully Remote:
This role is designated by Independence as fully remote. The incumbent will not be required to report to one of Independence's physical office locations to perform the work. However, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
What Independence Blue Cross employees say
Pay
Benefits
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About Independence Blue Cross
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Philadelphia, PA, US
Year founded
1938