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Senior Provider Relations Representative
Health Care Service CorporationRichardson, United Statesfull_timeVerifiedPosted 2 Jul 2026
💰 $136,100/yr($61,500/yr – $136,100/yr)
About the role
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job Summary
BASIC FUNCTIONThis position is responsible for functioning in a lead role in developing and maintaining healthy relationships with providers. Exhibit a high level of expertise in hospital and/or professional provider operations, A/R management, and healthcare structure. Will act as a knowledgeable resource for providers and internal partners and work as a liaison between department and all areas of HCSC. Provide leadership to the team and drive for better reporting and quality of provider experience. Functions independently when needed and coordinates the efforts of the department in conjunction with corporate departments for effective and efficient approaches to provider support and contract implementation; manage timelines effectively.
NOTE: this role is HYBRID/FLEX and requires in-office visibility three days per week, working from home the other two days. Relocation is not offered; sponsorship will not be extended either now or in the future.
Required Job Qualifications
- Bachelor’s degree with 5 years healthcare and/or managed care insurance experience OR 7 years healthcare and/or managed care insurance experience.
- Experience managing a department project or a portion of a divisional or corporate project, including analysis, strategy forming, developing project management plans, developing appropriate resources, and implementation.
- Minimum of 3 years of health care administration experience in clinical and financial settings, with direct provider communication experience.
- Experience independently managing to resolution complex issues across multiple divisions.
- Experience leading/providing guidance to intra and interdepartmental staff.
- Knowledge of current health care products, the external marketplace, and HCSC competition.
- Experience communicating with and relationship building with various internal and external customers and providers.
- 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.
Preferred Job Qualifications
- Bachelor’s degree in Healthcare Administration or Business Management.
- Knowledge of HCSC’s various functions areas and departments.
~ KEY FUNCTIONS ~
- Manages critical relationships between Blue Cross and its providers to promote and ensure quality provider relationships and enforcement of negotiated terms.
- Function as a primary SME in the department.
- Play a leadership role to establish, maintain, grow relationships with assigned providers.
- Ensure appropriate provider services including working across departments to resolve issues. Ensure assigned providers are informed when changes occur in policies and procedures and provide appropriate education/in-service. Coordinate orientation, training and continuing policy educatio
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