Mgr Network Management

🔥 1 minute ago

🇺🇸 United States – Remote

đź’µ $92.7k - $167.5k / year

⏰ Full Time

đźź  Senior

đź”´ Lead

Where this job comes from

Posted on Health Care Service Corporation's careers page, not through a job board

First seen by Remote Rocketship 1 minute ago

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

• Manage daily activities and implement strategies for provider recruitment and contracting of physicians, physician groups, and facilities, including large or complex groups and facilities • Develop and negotiate contracts • Develop and maintain relationships with providers • Ensure strategic coverage for enterprise markets • Educate providers and provide ongoing provider service • Manage, mentor, and train a team responsible for provider contracting and provider support resources • Provide subject matter expertise to improve efficiency and results • Travel within assigned areas of responsibility, including overnight stays

🎯 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 • Ability to meet deadlines and work well under pressure • Verbal and written communication skills to interact with all levels of corporate personnel and providers • PC proficiency including 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 • Sponsorship will not be provided for this role

🏖️ Benefits

• Curated development plans and professional development investment • 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 • Annual incentive bonus plan • Other incentives • Remote work from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii

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