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 at least one year experience in provider contracts, or 5 years in managed care with contract experience.
  • Ability to meet deadlines and perform under pressure.
  • Strong verbal and written communication, organizational, and planning skills.
  • Proficient in Microsoft Office Suite.
  • Analytical skills essential for data assessment and decision-making.
  • Willingness to travel occasionally within the assigned territory.

Responsibilities

  • Maintain and strengthen relationships with the provider community.
  • Recruit and collaborate with healthcare providers as part of network development.
  • Manage risk and documentation throughout the contracting process.
  • Negotiate small to mid-size contracts with hospitals and physicians.
  • Support complex hospital and physician contracting activities.
  • Ensure strategic coverage of the assigned territory.

Benefits

  • Comprehensive health and wellness benefits.
  • 401(k) savings plan and pension plan.
  • Generous paid time off and parental leave.
  • Disability insurance and supplemental life insurance.
  • Employee assistance programs and paid holidays.
  • Tuition reimbursement and other incentives.
Full Job Description
Job Summary

Job Profile Summary:
This position is responsible for the maintaining a strong relationship with our provider community. Primary functions include, recruiting, collaborating, managing risk, documentation which are part of the contracting process for provider networks, to ensure strategic coverage of assigned territory. Specific responsibilities include small to mid-size contract negotiations for small hospitals, physicians and physician groups 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 (rare).

Required Job Qualifications:
  • Bachelor's 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's degree in business, healthcare management
  • Advance experience in Excel, Word, PowerPoint, Co-pilot
  • Experience with spreadsheets, claims data, and market trends


Sponsorship will not be provided for this role.

This is a Telecommute (Remote) role.

#LI-LI1

#LI-Remote

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

Similar Jobs

More Jobs at Health Care Service Corporation

More Healthcare Jobs

Find similar Network Management Consultant - Work From Home jobs: