Sr Provider Network Consultant

Health Care Service Corporation • Chicago, IL

9d

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 developing, managing, and maintaining excellent cooperative working relationships with the contracting provider community; and educating, training, researching problems, identifying trends and evaluating providers to ensure contractual and financial requirements are adhered to and performed. Ability and willingness to travel, including overnight stays.

Requirements

• Bachelor Degree in Health Care or Business Administration OR 6 years experience in a managed care environment.
• 4 years experience of professional experience in claims, customer service, physician office or hospital, or healthcare related experience in a leadership role.
• 3 years experience in a position which requires in-depth physician/provider relations, including but not limited to, contracting and reimbursement issues.
• Knowledge of the health care industry and private business.
• 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
• Ability and willingness to travel, including overnight stays.

Nice To Haves

• Provider facing experience
• Strong communication skills, comfortable with public speaking with all levels

Responsibilities

• developing, managing, and maintaining excellent 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