What are the responsibilities and job description for the Network Management Consultant position at Health Care Service Corporation?
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.
The Network Management Consultant supports the Senior Manager in advancing provider network performance across Medicare Advantage markets with a focus on quality improvement, risk adjustment optimization, and value-based care initiatives. This role collaborates with internal teams and external provider partners to implement strategies that improve clinical quality outcomes, coding accuracy, and overall network performance. The consultant assists in provider engagement, performance analysis, and operational execution of programs that support risk capture, quality ratings, and regulatory compliance within the Medicare Advantage line of business. Required Job Qualifications: *Bachelor’s Degree and at least one year experience developing and negotiating provider contracts OR 5 years managed care operations experience handling independent work with at least one year experience developing and negotiating provider contracts. *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 territory, including overnight stays Preferred Job Qualifications: *Bachelor’s Degree in Business INJLF
Compensation: $55,900.00 - $123,500.00
Exact compensation may vary based on skills, experience, and location
HCSC Employment Statement
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
To learn more about available benefits, please click https://careers.hcsc.com/totalrewards
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
The Network Management Consultant supports the Senior Manager in advancing provider network performance across Medicare Advantage markets with a focus on quality improvement, risk adjustment optimization, and value-based care initiatives. This role collaborates with internal teams and external provider partners to implement strategies that improve clinical quality outcomes, coding accuracy, and overall network performance. The consultant assists in provider engagement, performance analysis, and operational execution of programs that support risk capture, quality ratings, and regulatory compliance within the Medicare Advantage line of business. Required Job Qualifications: *Bachelor’s Degree and at least one year experience developing and negotiating provider contracts OR 5 years managed care operations experience handling independent work with at least one year experience developing and negotiating provider contracts. *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 territory, including overnight stays Preferred Job Qualifications: *Bachelor’s Degree in Business INJLF
Compensation: $55,900.00 - $123,500.00
Exact compensation may vary based on skills, experience, and location
HCSC Employment Statement
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
To learn more about available benefits, please click https://careers.hcsc.com/totalrewards
Salary : $55,900 - $123,500