Senior Network Management Consultant

Job not on LinkedIn

🔥 2 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $69.8k - $125.9k / year

⏰ Full Time

🟠 Senior

💼 Consultant

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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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

• Conduct small to mid-size provider recruitment and contracting activities for physicians, physician groups, and facilities • Develop and negotiate contracts • Develop and maintain relationships with providers • Ensure strategic coverage for assigned territory, such as Texas • Educate assigned providers • Contract with or support large or complex groups/facilities as needed • 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 • Ability to 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 areas of responsibility, including overnight stays • Sponsorship will not be provided for this role • Preferred: 1+ years' experience in facilities, large group, and complex contracting • Preferred: Intermediate experience with Microsoft Office, Excel, PowerPoint, etc. • Preferred: Ability to interpret provider contracts and perform detailed review and analysis • Preferred: Advanced analytical, critical thinking, and problem-solving skills

🏖️ Benefits

• Curated development plans and professional development opportunities • 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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