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Manager Network Management

Health Care Service Corporation
Albuquerque, United Statesfull_timeVerifiedPosted 5 Feb 2024

About the role

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 managing daily activities and implementation of strategies for provider recruitment and contracting of physicians, physician groups and facilities including large or complex groups/facilities (large independent hospital systems, integrated & non-integrated systems, value based contracting, 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. Responsible for the management, mentoring and training of a team responsible for provider contracting and provider support resources. Provide subject matter expertise to improve efficiencies and results. Ability and willingness to travel within assigned areas of responsibility, including overnight stays.

JOB REQUIREMENTS:

* Bachelor Degree and 5 years provider contracting experience OR 9 years managed care experience including 5 years provider contracting experience.
* Extensive knowledge of provider and facility contracting, products, and claims/processing systems.
* Leadership skills to oversee staff, implement initiatives, and work across the company to resolve issues.
* 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.
* Project management skills to lead or participate in projects or initiatives.
* Ability and willingness to travel within assigned areas of responsibility, including overnight stays.

*This is a hybrid role requiring 3 days in the office and 2 days remote weekly.

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

#LI-EL1

#INJLF

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.

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Company

Health Care Service Corporation

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