Network Management Consultant - Work From Home

Health Care Service CorporationNashville, TN
$55,900 - $123,500Remote

About The Position

This position is responsible for providing support to the provider recruitment and contracting process to ensure strategic coverage of providers for Texas Territory (Commercial, IFM, and Government Programs). Specific responsibilities include small to mid-size contract negotiations for small hospitals, physicians, physician groups, IPA (Independent Physician Association), ancillary providers, and developing and maintaining relationships with providers. This role will also provide support for complex hospital and physician contracting activities. Ability and willingness to travel within 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 to include Microsoft Office.
  • Analytical skills.
  • Ability and willingness to travel within assigned territory, including overnight stays.

Nice To Haves

  • Bachelor Degree in Business or Healthcare Administration.
  • Sponsorship will not be provided for this role.

Responsibilities

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

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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