Job SummaryThis position is responsible for providing support to the Provider Recruitment and Contracting process to ensure network adequacy guidance in assigned territory. Specific responsibilities include analysis, targeted gap reporting, and remediation planning in support of network management operations. This role will also provide support for complex hospital and physician contracting activities. Ability and willingness to travel to offices for internal meetings as needed, including overnight stays (less than 3%).
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, Finance, Economics - HIGHLY PREFERRED
- Experience working with Medicare Advantage and CMS regulations - HIGHLY PREFERRED
- Strong understanding of healthcare network adequacy requirements
- Demonstrated ability to investigate and resolve network gaps
- Proven track record of monitoring project milestones, negotiation activities and implementation progress
- Excellent communication and stakeholder management skills
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.
