Network Management Consultant
About The Position
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. Job Summary The Network Management Consultant supports the Senior Manager in advancing provider network performance across Medicare Advantage markets with a focus on quality improvement, risk adjustment optimization, and value-based care initiatives. This role collaborates with internal teams and external provider partners to implement strategies that improve clinical quality outcomes, coding accuracy, and overall network performance. The consultant assists in provider engagement, performance analysis, and operational execution of programs that support risk capture, quality ratings, and regulatory compliance within the Medicare Advantage line of business.
Requirements
- Bachelor’s 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 to include Microsoft Office.
- Analytical skills.
- Ability and willingness to travel within assigned territory, including overnight stays
Nice To Haves
- Bachelor’s Degree in Business
Responsibilities
- Implement strategies that improve clinical quality outcomes
- Implement strategies that improve coding accuracy
- Implement strategies that improve overall network performance
- Assist in provider engagement
- Assist in performance analysis
- Assist in operational execution of programs that support risk capture, quality ratings, and regulatory compliance within the Medicare Advantage line of business.
Benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
