Health Care Service Corporation

Sr Network Mgmt Consultant - Work From Home

Health Care Service Corporation$61K — $136K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree with 3 years of provider contracting experience, or 7 years of business experience including 3 years in provider contracting.
  • Strong understanding of provider and facility contracting, claims processing, and relevant products.
  • Demonstrated negotiation and relationship-building skills.
  • Familiarity with the healthcare marketplace and industry standards.
  • Ability to work under pressure while meeting strict deadlines.
  • Excellent verbal and written communication, planning, and organizational skills.
  • Proficiency in Microsoft Office and strong analytical capabilities.
  • Willingness to travel, including overnight stays, within assigned regions.

Responsibilities

  • Lead recruitment and contracting activities for various healthcare providers and facilities.
  • Negotiate contracts to align with organizational goals and standards.
  • Cultivate and manage relationships with providers for effective collaboration.
  • Ensure strategic coverage within the assigned territory for optimal provider engagement.
  • Educate providers on policies, services, and contract details for ongoing support.
  • Assist with contracting for large or complex healthcare groups and facilities as needed.
  • Monitor and report on provider performance and satisfaction to drive continuous improvement.

Benefits

  • Comprehensive health and wellness packages.
  • 401(k) savings plan and pension plan options.
  • Generous paid time off and parental leave policies.
  • Disability and supplemental life insurance plans.
  • Employee assistance program for mental health support.
  • Paid holidays and opportunities for tuition reimbursement.
  • Additional incentives as part of the total rewards package.
Full Job Description
Job Summary

This position is responsible for small, mid-size, and large provider recruitment and contracting activities for physicians, physician groups and facilities (hospitals, independent physicians with negotiations, Group / Ipas, etc). Develop and negotiate contracts. Develop and maintain relationships with providers. Ensure strategic coverage for assigned territory. Responsible for education of providers and for ongoing provider service. May be responsible for or assist with contracting or supporting services large or complex groups/facilities. Ability and willingness to travel within assigned areas of responsibility, including overnight stays.

JOB REQUIREMENTS:
  • Bachelor Degree and 3 years provider contracting experience OR 7 years business experience including 3 years provider contracting experience.
  • 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; organizational and planning skills
  • PC proficiency to include Microsoft Office.
  • Analytical skills.
  • Ability and willingness to travel within assigned areas of responsibility, including overnight stays


Preferred Job Requirements:
  • 3 years experience in Medicare Advantage Contracting
  • 1 year experience in Value Based Contracting (negotiation, execution, management of Delegation/Risk Contracts)
  • 1 year experience in Ancillary contracting


Sponsorship will not be provided for this role.

This is a Telecommute (Remote) role.

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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
$61,500.00 - $136,100.00

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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