Provider Relations Representative

Health Care Service Corporation • Albuquerque, NM

1d • 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. Job Summary This position is responsible for enhancing relationships with facility and physician providers; and acting as liaison with providers through education, training, claims assistance and ongoing provider service.

Requirements

• Bachelor’s Degree and 1-year managed care experience in products or contracts OR 5 years’ experience in managed care environment with 1 year experience in products or contracts.
• 1 year experience in a position that demonstrates leadership abilities and sound decision-making.
• Knowledge of contracts, applications and products; claims processing systems.
• Knowledge and experience in provider reimbursement methods.
• Meet deadlines and work well under pressure and take initiative to work independently.
• Verbal and written communication skills; organizational and planning skills.
• PC proficiency to include Microsoft Office.
• Ability and willingness to travel, including overnight stays.

Nice To Haves

• 1 year experience in provider relations.

Benefits

• At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work.
• From 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, plus other incentives, we offer a robust total rewards package for employees.
• Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.
• This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level