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Senior Provider Network Consultant

Health Care Service Corporation
United Statesfull_timeVerifiedPosted 9 Jan 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 for developing, managing, and maintaining excellent cooperative working relationships with the contracting provider community; and educating, training, researching problems, identifying trends and evaluating providers to ensure contractual and financial requirements are adhered to and performed. Ability and willingness to travel, including overnight stays.

JOB REQUIREMENTS:
* Bachelor Degree in Health Care or Business Administration OR 6 years experience in a managed care environment.
* 4 years experience of professional experience in claims, customer service, physician office or hospital, or healthcare related experience in a leadership role.
* 3 years experience in a position which requires in-depth physician/provider relations, including but not limited to, contracting and reimbursement issues.
* Knowledge of the health care industry and private business.
* Knowledge of contracts, applications, and products.

* Demonstrated proficiency in provider reimbursement methods. 

* Working knowledge of claims processing systems. 

* Effective organizational and planning skills. 

* Ability to take initiative and work independently. 

* Demonstrated ability to meet deadlines and work well under pressure. 

* Working knowledge of software, including Microsoft Office

This role is a hybrid role: 3 days a week in the office and 2 days a week work from home.

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.

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Company

Health Care Service Corporation

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