Provider Network Consultant

Health Care Service Corporation • Chicago, IL

2d • Hybrid

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. This position is responsible for developing and maintaining cooperative working relationships with the contracting provider community; educating, training, researching problems; and identifying trends and evaluating providers to ensure contractual and financial requirements are adhered to and performed. For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions.

Requirements

• Bachelor’s degree in health care or business administration or a minimum of 4 years work experience in a managed care environment
• Minimum of 2 years of health care administration experience in clinical and financial settings, with direct provider communication experience
• Effective interpersonal, analytical, presentation and communication skills
• Knowledge of the health care industry and BCBSIL private business
• Ability and willingness to travel within assigned areas for responsibility, including overnight stays
• Extensive knowledge of contracts, applications, and products
• Demonstrated proficiency in provider reimbursement methods
• Working knowledge of claims processing systems
• Effective organizational and planning skills
• Ability to take initiative and work independently
• Demonstrated ability to meet deadlines and work well under pressure
• Working knowledge of software, including Microsoft Office

Responsibilities

• Developing and maintaining cooperative working relationships with the contracting provider community
• Educating, training, researching problems
• Identifying trends and evaluating providers to ensure contractual and financial requirements are adhered to and performed

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees