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 and 1 year of experience in provider contract negotiation or 5 years in managed care operations with 1 year of contract negotiation experience.
  • Ability to meet deadlines and perform under pressure.
  • Strong verbal and written communication skills; proficient organizational and planning skills.
  • PC proficiency, specifically in Microsoft Office.
  • Solid analytical skills for evaluation and interpretation of data.
  • Willingness to travel within the assigned territory, including overnight stays.

Responsibilities

  • Support provider recruitment and contracting processes for Texas Territory.
  • Negotiate contracts with small hospitals, physicians, and physician groups.
  • Develop and maintain relationships with providers in the territory.
  • Assist with complex hospital and physician contracting activities.
  • Document and track contract negotiations and outcomes.

Benefits

  • Comprehensive health and wellness benefits.
  • 401(k) savings plan and pension plan.
  • Paid time off, including paid parental leave.
  • Disability and supplemental life insurance.
  • Employee assistance program and paid holidays.
  • Tuition reimbursement and additional incentives.
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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