Sr Network Management Consultant - Work From Home

Health Care Service Corporation•Richardson, TX
•$69,800 - $125,900•Remote

About The Position

This position is responsible for small- to mid-size provider recruitment and contracting activities for physicians, physician groups, and facilities, including independent hospitals, independent physicians with negotiations, small groups, and IPAs. The role develops and negotiates contracts, builds and maintains provider relationships, and ensures strategic coverage for an assigned territory, such as Texas. It also educates assigned providers and may be responsible for, or assist with, contracting or supporting services for large or complex groups and facilities. Travel within the assigned area of responsibility is required and may include rare overnight stays. This is a remote position that may be performed from anywhere in the continental United States except California, New York, Alaska, and Hawaii. Sponsorship is not provided.

Requirements

  • Bachelor's degree and 3 years of provider contracting experience, or 7 years of business experience including 3 years of provider contracting experience.
  • Knowledge of provider and facility contracting, products, and claims/processing systems.
  • Negotiation skills.
  • Relationship-building skills.
  • Knowledge of the marketplace.
  • Ability to meet deadlines and work well under pressure.
  • Verbal and written communication skills, as well as organizational and planning skills.
  • PC proficiency, including Microsoft Office.
  • Analytical skills.
  • Ability and willingness to travel within assigned areas of responsibility, including overnight stays.

Nice To Haves

  • 1+ years of experience in facilities, large group, and complex contracting.
  • Exceptional written and verbal communication skills, polished email and phone etiquette, and the ability to interact confidently with senior leaders and executives.
  • Previous intermediate-level experience with Microsoft Office, Excel, and PowerPoint.
  • Proven ability to interpret provider contracts and perform detailed review and analysis.
  • Advanced analytical, critical-thinking, and problem-solving skills to assess risks, recommend corrective actions, and/or present findings to upper-level leadership.

Responsibilities

  • Recruit and contract with small- to mid-size providers, including physicians, physician groups, and facilities.
  • Develop and negotiate provider contracts.
  • Develop and maintain relationships with providers.
  • Ensure strategic coverage for the assigned territory.
  • Educate assigned providers.
  • May handle or assist with contracting or supporting services for large or complex groups and facilities.
  • Travel within assigned areas of responsibility, including occasional overnight stays.

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
  • Other incentives
  • Annual incentive bonus plan, subject to the plan's terms and conditions
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