Senior Network Management Consultant – Behavioral Health

🔥 2 minutes ago

🌽 Illinois, Montana, +4 more states – Remote

🌽 Illinois – Remote 🦬 Montana – Remote 🌶️ New Mexico – Remote 🌪️ Oklahoma – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote

💵 $61.5k - $136.1k / year

⏰ Full Time

🟠 Senior

💼 Consultant

🦅 H1B Visa Sponsor

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Health Care Service Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

🛡️ Insurance

💼 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.

📋 Description

• Recruit and contract with small to mid-size behavioral health providers and facilities • Develop and negotiate contracts • Develop and maintain relationships with providers • Ensure strategic coverage for the assigned territory • Educate behavioral health providers • Provide ongoing provider service • Assist with contracting or support services for large or complex behavioral health groups and facilities • Oversee contract adjustments, red-line changes, fee schedules, and contract language changes • Support Illinois and expanding national markets/presence • Travel within assigned areas of responsibility, including rare overnight stays

🎯 Requirements

• Bachelor Degree and 3 years provider contracting experience OR 7 years business experience including 3 years provider contracting experience • Knowledge of provider and facility contracting, products, and claims/processing systems • Negotiation skills • Relationship building skills • Knowledge of marketplace • 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 areas of responsibility, including overnight stays • At least 2 years of Behavioral Health knowledge and experience, including contracting, rate negotiation, modeling, and market analysis • Experience with regulatory deliverables for state and federal filings • Exceptional written and verbal communication skills, polished email and phone etiquette, and ability to interact with senior leaders and executives • Expert level experience with high-volume Microsoft Office, Excel (V-Look Ups, Pivot Tables), PowerPoint, etc. • Sponsorship will not be provided for this role

🏖️ Benefits

• Curated development plans and 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