Health Care Service Corporation

Principal Network Management Consultant - 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 Master's degree with 3 years OR 8 years of business experience including 4 years of contracting experience.
  • Extensive knowledge of provider and facility contracting, products, and claims processing systems.
  • Strong negotiation and relationship building skills.
  • Familiarity with the marketplace and its trends.
  • Ability to work under pressure and meet deadlines.
  • Excellent verbal and written communication skills for interacting across all corporate levels and with providers.
  • PC proficiency in Microsoft Office and strong analytical skills for financial data analysis.
  • Willingness to travel, including overnight stays.

Responsibilities

  • Manage relationships with assigned healthcare providers.
  • Negotiate provider agreements and reimbursement arrangements.
  • Develop and maintain comprehensive knowledge of market trends.
  • Analyze financial impacts of negotiation outcomes.
  • Collaborate with internal teams to align on provider contracting strategies.
  • Ensure efficient execution of contract negotiations and implementations.
  • Monitor and report on the performance of provider agreements.

Benefits

  • Health and wellness benefits including medical, dental, and vision coverage.
  • 401(k) savings plan and pension plan for retirement.
  • Generous paid time off policy including parental leave.
  • Disability insurance and supplemental life insurance options.
  • Employee assistance program for personal support.
  • Paid holiday schedule and tuition reimbursement for further education.
  • Robust total rewards package that includes performance bonuses.
  • Opportunities for professional development and growth.
Full Job Description
Job Summary

This position is responsible for managing, developing and maintaining harmonious working relationships with assigned providers; managing provider agreement negotiation operations.

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:
  • Strong Value-Based Care (VBC) contracting experience, including development, negotiation, implementation, and management of value-based provider agreements, risk-sharing models, and performance-based reimbursement arrangements.
  • Demonstrated strong organizational skills, with the ability to effectively manage multiple priorities, complex projects, competing deadlines, and large-scale initiatives in a fast-paced environment.
  • Strong matrix management and collaboration skills, with a proven ability to influence stakeholders, drive alignment, and achieve business objectives across cross-functional teams and organizational boundaries without direct authority.


#LI-LO1
#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
$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

Similar Jobs

More Jobs at Health Care Service Corporation

More Healthcare Jobs

Find similar Principal Network Management Consultant - Work from Home jobs: