Field-Based Provider Network Leader: Growth & Impact

HCSC; Pensacola (FL); Hybrid; USD 93,000 - 168,000; Full time

Job summary

Health Care Service Corporation (HCSC) is seeking a Senior Manager, Provider Performance to oversee the provider network, build strong working relationships, negotiate provider agreements, and guide training and performance management within a cross‑functional team.

The role leads Provider Performance teams, monitors financial performance and value‑based initiatives, supports CMS Stars and Risk Adjustment goals, ensures CMS compliance, and collaborates to improve health outcomes and

Qualifications

• Bachelor’s Degree in Business or related field plus four years of health care administration or managed care experience. Eight years of similar experience may substitute.
• Effective verbal and written communication skills to interact with all levels of corporate personnel and assigned providers.
• Demonstrated analytical abilities and proficient planning skills.
• Effective negotiation skills.
• Demonstrated ability to meet deadlines and work well under pressure.
• Team player/people oriented.
• Ability and willingness to travel, including overnight stays.
• Individuals must live within 380 miles from the territory serviced.

Responsibilities

• Manage development and maintenance of harmonious relationships with assigned providers and negotiate provider agreements.
• Lead staff through training, coaching, performance management and other supervisory responsibilities.
• Oversee provider network performance, partnering with providers and internal stakeholders to drive quality, affordability, operational excellence and member satisfaction.
• Provide leadership for Provider Performance teams and oversee provider network financial performance and value-based initiatives.
• Support CMS Stars and Risk Adjustment goals and ensure compliance with CMS and company policies.

Skills

Communication

Analytical skills

Negotiation

Team player

Travel readiness

Residence within territory

Education

Bachelor's degree in Business or related field

MBA or advanced degree

Tools

Excel

Job description

Health Care Service Corporation (HCSC) is seeking a Senior Manager, Provider Performance to oversee the provider network, build strong working relationships, negotiate provider agreements, and guide training and performance management within a cross‑functional team.

The role leads Provider Performance teams, monitors financial performance and value‑based initiatives, supports CMS Stars and Risk Adjustment goals, ensures CMS compliance, and collaborates to improve health outcomes and