Health Care Service Corporation

Principal Network Management Consultant (Work From Home)

Health Care Service Corporation  •  $93k - $168k/yr  •  United States (Remote)  •  2 days ago
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Job Description

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 provider recruitment and contracting of facilities (large independent hospital systems, integrated & non-integrated systems, value-based contracting, etc.). Develop and negotiate hospital contracts. Develop and maintain relationships with hospitals. Ensure strategic coverage for assigned territory. Responsible for education of providers and for ongoing provider service. Provide subject matter expertise to improve efficiency and results.

JOB REQUIREMENTS:

  • Bachelor Degree and 4 years provider contracting experience OR Master degree and 3 years contracting experience OR 8 years business experience including 4 years provider contracting experience. Contracting experience involves negotiating reimbursements, financial arrangements and rates.

  • Extensive knowledge of provider and facility contracting, products, and claims/processing systems.

  • Negotiation skills.

  • Relationship building skills.

  • Knowledge of marketplace.

  • Meet deadlines and work well under pressure.

  • Verbal and written communication skills to interact with all levels of corporate personnel and providers.

  • PC proficiency to include Microsoft Office.

  • Analytical skills and business acumen to analyze financial data to determine financial impact of negotiations.

  • Ability and willingness to travel within assigned areas of responsibility, including overnight stays.

PREFERRED JOB REQUIREMENTS:

  • Relationship Building, having theability toestablishand maintain strong, collaborative relationships with hospital partners, providers, and internal stakeholders.

  • Communication Skills, excellent written and verbal communication skills, with the ability to clearly present complex information to diverse audiences.

  • Analytical Skills, strong analytical and problem-solving capabilities, including the ability to interpret data,identifytrends, and support strategic decision-making.

  • Computer Proficiency, advancedproficiencyin Microsoft Office applications, including Word, Excel, and PowerPoint.

  • Presentation Development, proven ability to create clear, compelling, and professional PowerPoint presentations tailored to executive and stakeholder audiences.

  • Systems Expertise,experiencewith data retrieval, report generation, and data extraction; familiarity with provider contracting systems and tools.

This is a Telecommute (Remote) role in the Illinois location.

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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

$92,700.00 - $167,500.00

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

Health Care Service Corporation

About Health Care Service Corporation

Health Care Service Corporation serves nearly 23 million people across the United States through its portfolio of health benefit solutions.

HCSC provides health coverage options for employers large and small, individuals and families, and Medicare and Medicaid plans. HCSC also offers related health care products and services such as pharmacy solutions, life and dental insurance, and health data technology. A Mutual Legal Reserve Company, HCSC is an independent licensee of the Blue Cross Blue Shield Association.

For nearly a century, we have enabled and coordinated the access to quality care for millions of members. Our experience and industry knowledge establishes a solid foundation for our future—driving innovations that further expand access, improve health outcomes, and reduce costs.

Embedded within the fabric of how we operate is a deep sense of caring and commitment that informs how we serve our members, engage in local communities, and deliver positive change to the health care industry.

As health care needs evolve, we leverage our portfolio of companies to deliver differentiated value to all industry stakeholders so that, together, we make more possible.

Join HCSC and discover what new ways of thinking can mean for you, your community, our customers and our organization: HCSC.com/careers. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to an inclusive, drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability, or protected veteran status.

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Industry
Healthcare & Social Services
Company Size
10,000+ employees
Headquarters
Chicago, IL
Year Founded
Unknown
Website
hcsc.com
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