Health Care Service Corporation

Network Management Consultant - Work From Home

Health Care Service Corporation$55K — $123K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree with experience in developing and negotiating provider contracts, or 5 years in managed care operations with relevant contract experience.
  • Ability to meet deadlines and work effectively under pressure.
  • Strong verbal and written communication skills, along with organizational abilities.
  • Proficient in Microsoft Office applications.
  • Solid analytical skills for contract evaluation and negotiation.
  • Willingness to travel within the assigned territory, including occasional overnight trips.

Responsibilities

  • Support the recruitment and contracting of providers across Texas for various programs.
  • Negotiate contracts for small to mid-size hospitals and physician groups.
  • Maintain strong relationships with providers to ensure ongoing collaboration.
  • Assist with more complex contracting activities for hospitals and physician networks.
  • Provide coverage for commercial, IFM, and government programs effectively.

Benefits

  • Health and wellness benefits to support employee well-being.
  • 401(k) savings plan and pension plan for financial security.
  • Paid time off including parental leave to maintain work-life balance.
  • Disability insurance and supplemental life insurance for added security.
  • Employee assistance program for personal and professional support.
  • Tuition reimbursement for continued education and growth.
  • Paid holidays and various incentives to reward employees.
Full Job Description
Job Summary

This position is responsible for providing support to the provider recruitment and contracting process to ensure strategic coverage of providers for Texas Territory (Commercial, IFM, and Government Programs). Specific responsibilities include small to mid-size contract negotiations for small hospitals, physicians, physician groups, IPA (Independent Physician Association), ancillary providers, and developing and maintaining relationships with providers. This role will also provide support for complex hospital and physician contracting activities. Ability and willingness to travel within assigned territory, including overnight stays (less than 10%).

Required Job Qualifications:
  • Bachelor Degree and at least one year experience developing and negotiating provider contracts OR 5 years managed care operations experience handling independent work with at least one year experience developing and negotiating provider contracts.
  • Meet deadlines and work well under pressure.
  • Verbal and written communication skills, organizational and planning skills.
  • PC proficiency to include Microsoft Office.
  • Analytical skills.
  • Ability and willingness to travel within assigned territory, including overnight stays


Preferred Job Qualifications:
  • Bachelor Degree in Business or Healthcare Administration.


Sponsorship will not be provided for this role.

This is a Telecommute (Remote) role.

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Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

Base Pay Range
$55,900.00 - $123,500.00

Exact compensation may vary based on skills, experience, and location.

About Health Care Service Corporation

Health Care Service Corporation (HCSC) is the largest customer-owned health insurer in the United States. HCSC offers a wide variety of health insurance products and related services, through its operating divisions and subsidiaries in Illinois, Montana, New Mexico, Oklahoma and Texas. HCSC's headquarters is located in Chicago, Illinois.
Learn more about Health Care Service Corporation
Size
24,000 employees
Industry
Founded
1936

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