Health Care Service Corporation

Provider Relations Representative

Health Care Service Corporation$55K — $123K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor’s degree with 3 years in managed care or 5 years in a managed care environment.
  • 2 years of health care administration experience in clinical and financial settings with provider communication experience.
  • Strong interpersonal, analytical, presentation, and communication abilities.
  • Deep knowledge of the health care industry and provider reimbursement methods.
  • Familiarity with contracts, applications, products, and claims processing systems.
  • Effective organizational and planning skills, with a demonstrated ability to work independently and under pressure.

Responsibilities

  • Support provider recruitment and contracting for strategic coverage.
  • Maintain strong relationships with physicians, hospitals, and physician groups.
  • Assist with complex hospital and physician provider activities.
  • Conduct direct communication with healthcare providers regarding administrative processes.
  • Facilitate the implementation and execution of provider-related initiatives.

Benefits

  • Health and wellness benefits including paid parental leave.
  • 401(k) savings plan with a pension plan option.
  • Paid time off and holidays.
  • Disability insurance and supplemental life insurance.
  • Tuition reimbursement programs.
  • Employee assistance program offering support resources.
Full Job Description
Job Summary


This position is responsible for providing support to the provider recruitment and contracting process to ensure strategic coverage for assigned Providers. Specific responsibilities include establishing and maintaining good relations with physicians, hospitals and physician groups. In addition to developing and maintaining relationships with providers. This role will also provide support for complex hospital and physician provider activities. Minimal travel involved.

Required Job Qualifications:  

  • Bachelor’s degree and 3 years of work experience in managed care, or a minimum of 5 years work experience in a managed care environment. 
  • Minimum of 2 years of health care administration experience in clinical and financial settings, with direct provider communication experience. 
  • Effective interpersonal, analytical, presentation and communication skills. 
  • Knowledge of the health care industry. 
  • Ability and willingness to travel within assigned areas for responsibility, including overnight stays. 
  • Knowledge of contracts, applications, and products. 
  • Understanding of provider reimbursement methods. 
  • Working knowledge of claims processing systems. 
  • Effective organizational and planning skills. 
  • Analytical skills.  
  • Ability to take initiative and work independently. 
  • Demonstrated ability to meet deadlines and work well under pressure. 
  • Clear and concise interpersonal, verbal and written communication skills. 
  • Collaboration skills resulting in business/process improvements/changes. 
  • PC experience and skills to include Word, Excel, PowerPoint, etc. 
  • Facilitation, presentation and analytical skills. 

This is a Flex (Hybrid) role: 3 days in office; 2 days remote.

#LI-AS1

#LI-Hybrid


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 .

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 Provider Relations Representative jobs: