What are the responsibilities and job description for the Sr Provider Network 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.
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
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.
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
- Provider facing experience
- Strong communication skills, comfortable with public speaking with all levels
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