Health Care Service Corporation

Principal Network Management Consultant - (Ancillary) Work from Home

Health Care Service Corporation$92K — $167K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree with 4 years of provider contracting experience or a Master's degree with 3 years of contracting experience or 8 years of business experience including 4 years of provider contracting experience.
  • Extensive knowledge of provider and facility contracting as well as claims processing systems.
  • Demonstrated negotiation skills for reimbursements and financial arrangements.
  • Strong relationship building skills with providers and stakeholders.
  • Updated knowledge of the healthcare marketplace including industry trends and regulations.
  • Ability to meet deadlines while managing pressure effectively.
  • Excellent verbal and written communication skills suitable for interaction with diverse corporate personnel.

Responsibilities

  • Manage provider recruitment and contracting for national ancillary services including complex dialysis and lab providers.
  • Negotiate contracts and financial agreements to optimize provider partnerships.
  • Develop and maintain strategic relationships with providers to enhance service delivery.
  • Educate providers about HCSC plans and maintain ongoing communication.
  • Provide expert insights to improve operational efficiencies and business outcomes.
  • Analyze financial data related to contract negotiations and assess their impact on the business.
  • Travel within assigned regions as needed, including for overnight stays.

Benefits

  • Health and wellness benefits to support physical well-being.
  • 401(k) savings and pension plan to promote financial security.
  • Paid time off including holidays and parental leave to balance work and personal life.
  • Disability insurance and supplemental life insurance for added protection.
  • Employee assistance program for personal challenges and mental health support.
  • Tuition reimbursement to support professional development and education.
Full Job Description
Job Summary

This position is responsible for provider recruitment and contracting of national ancillary providers including large or complex dialysis, laboratory, home infusion, and durable medical equipment providers, for all HCSC plans and lines of business. Develop proposals and negotiate contracts. Develop and maintain relationships with providers. Responsible for education of providers and for ongoing provider service. Provide subject matter expertise to improve efficiencies and results.

JOB REQUIREMENTS:
  • Bachelor Degree and 4 years provider contracting experience OR Master degree and 3 years contracting experience OR 8 years business experience including 4 years provider contracting experience. Contracting experience involves negotiating reimbursements, financial arrangements and rates.
  • Extensive knowledge of provider and facility contracting, products, and claims/processing systems.
  • Negotiation skills.
  • Relationship building skills.
  • Knowledge of marketplace.
  • Meet deadlines and work well under pressure.
  • Verbal and written communication skills to interact with all levels of corporate personnel and providers.
  • PC proficiency to include Microsoft Office.
  • Analytical skills and business acumen to analyze financial data to determine financial impact of negotiations.
  • Ability and willingness to travel within assigned areas of responsibility, including overnight stays.


PREFERRED JOB REQUIREMENTS:
  • Ancillary Contracting experience.


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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
$92,700.00 - $167,500.00

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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