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Network Management Consultant

đź•’ July 24

🌽 Illinois, Montana, +4 more states – Remote

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đź’µ $55.9k - $123.5k / year

⏰ Full Time

🟢 Junior

đź’Ľ Consultant

🦅 H1B Visa Sponsor

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đź‘» Ghost score 31%

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Logo of Health Care Service Corporation

Health Care Service Corporation

10,000+ employees

🛡️ Insurance

đź’Ľ Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Health Care Service Corporation is an independent licensee of the Blue Cross Blue Shield Association, serving nearly 23 million people across the United States with a wide range of health benefit solutions. The company provides health coverage options for various groups, including employers, individuals, families, as well as Medicare and Medicaid plans. In addition to health insurance, HCSC offers services such as pharmacy solutions, life and dental insurance, and health data technology. With nearly a century of experience, HCSC is dedicated to improving access to quality care, enhancing health outcomes, and reducing costs while maintaining a deep commitment to its members and local communities.

đź“‹ Description

• Support the provider recruitment and contracting process to ensure strategic coverage of providers for the Texas Territory across Commercial, IFM, and Government Programs • Conduct small to mid-size contract negotiations for small hospitals, physicians, physician groups, IPAs, and ancillary providers • Develop and maintain relationships with providers • Support complex hospital and physician contracting activities • Travel within the assigned territory, including overnight stays less than 10%

🎯 Requirements

• Bachelor 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 including Microsoft Office • Analytical skills • Ability and willingness to travel within assigned territory, including overnight stays • Sponsorship will not be provided for this role

🏖️ Benefits

• Curated development plans fostering growth and rewarding careers • Professional development • Health and wellness benefits • 401(k) savings plan • Pension plan • Paid time off • Paid parental leave • Disability insurance • Supplemental life insurance • Employee assistance program • Paid holidays • Tuition reimbursement • Other incentives • Annual incentive bonus plan

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