At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is  invested in your future!

Job Summary

This position is responsible for supporting Medicare, Medicaid, and Commercial provider services, provider operations and contracting of individual Medicare and Medicaid providers. This position is accountable for researching and resolving provider inquiries arising from contract operations, system, data entry claims payment, and directory issues. This position is responsible for internal communications including working with Provider Network, Provider Relations, and Government Programs staff on issue resolution. This position is responsible for external communications including educating and updating the IL Medicaid and Medicare provider network community regarding Blue Cross Blue Shield policy updates, system and contractual changes. Assist in the composition and coordination of revised policies and procedures.

JOB REQUIREMENTS:
* Bachelor degree OR 4 year of experience in health insurance/managed care industry handling independent decision making.
* Written and verbal communication skills to compose responses to external and internal entities, to negotiate and close contracts, to educate providers, to compose training materials and procedures, to work across departments to resolve provider issues.
* PC proficiency including Microsoft Word and Excel.

PREFERRED JOB REQUIREMENTS:
* Bachelor Degree with one year business experience.
* Knowledge of health care industry, contracts, products, claims processing.
* Knowledge of government health care products (TANF/FHP, MMAI).
* Knowledge/proficiency with Access.

* Knowledge of Salesforce.
* Negotiation and training skills/experience.

We encourage people of all backgrounds and experiences to apply. Even if you don’t think you are a perfect fit, apply anyway - you might have qualifications we haven’t even thought of yet.

#LI-Hybrid

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.