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Health Care Service Corporation

Senior Provider Network Consultant

Reposted 2 Days Ago
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In-Office
Chicago, IL, USA
56K-124K Annually
Senior level
In-Office
Chicago, IL, USA
56K-124K Annually
Senior level
The Sr Provider Network Consultant develops and maintains relationships with providers, ensuring compliance with contracts and financial requirements while educating and training providers. Travel, including overnight stays, is required.
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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.

JOB 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.

PREFERRED JOB REQUIREMENTS:

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

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

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.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range$55,900.00 - $123,500.00

Exact compensation may vary based on skills, experience, and location.

Top Skills

MS Office
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Health Care Service Corporation Chicago, Illinois, USA Office

300 E Randolph St, Chicago, IL, United States, 60601

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