Health Care Service Corporation

Principal Network Management Consultant - Work from Home

Health Care Service Corporation$92K — $167K *
US-AnywhereRemote in Chicago, IL
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree plus 4 years of provider contracting experience or a Master's degree plus 3 years of contracting experience or 8 years of business experience with 4 years in provider contracting.
  • Extensive knowledge in provider and facility contracting, product offerings, and claims processing systems.
  • Proficient negotiation skills with a focus on financial arrangements and reimbursement rates.
  • Strong relationship-building capabilities, essential for managing provider interactions.
  • Familiarity with the healthcare marketplace and industry trends.
  • Ability to meet deadlines and perform under pressure.
  • Effective verbal and written communication skills to interact with corporate personnel and providers.

Responsibilities

  • Manage and nurture relationships with assigned providers to ensure collaboration.
  • Oversee provider agreement negotiations, including key financial and reimbursement terms.
  • Analyze financial data to assess the impact of negotiations on organizational performance.
  • Facilitate communication between cross-functional teams to align contracting goals with business objectives.
  • Ensure timely completion of projects while managing competing deadlines and priorities.
  • Develop and implement performance-based reimbursement models in alignment with value-based care initiatives.

Benefits

  • Comprehensive health and wellness benefits.
  • 401(k) savings plan and pension plan to support long-term savings.
  • Paid time off and parental leave for work-life balance.
  • Disability insurance and life insurance options for employee security.
  • Employee assistance program to support personal and professional growth.
  • Tuition reimbursement to encourage continuing education and development.
  • Paid holidays and other incentives for employee appreciation.
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.


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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
$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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