Hybrid Network & Provider Performance Consultant

Health Care Service Corp.; Houston (TX); Hybrid; USD 56,000 - 124,000; Full time

Benefits offered by this job

Health and wellness benefits

401(k) savings plan

Pension plan

Paid time off

Parental leave

Disability insurance

Supplemental life insurance

Employee assistance program

Paid holidays

Tuition reimbursement

Plus other incentives

Job summary

Health Care Service Corporation is seeking a provider contracts and performance professional to support HEDIS, STARS, and financial provider initiatives in a Houston-area territory. You will negotiate physician and hospital contracts, build strong provider relationships, and drive value-based care through data-driven strategies.

The role requires travel within the territory, including overnight stays, and offers a collaborative, development-focused environment with opportunities for professional

Qualifications

• Bachelor degree and at least one year experience developing and negotiating provider contracts OR 5 years managed care operations experience handling independent work with at least one year experience developing and negotiating provider contracts.
• Meet deadlines and work well under pressure.
• Verbal and written communication skills, organizational and planning skills.
• PC proficiency to include Microsoft Office.
• Analytical skills.
• Ability and willingness to travel within assigned territory, including overnight stays.

Responsibilities

• Support HEDIS, STARS and financial provider performance and contracting activities to ensure strategic provider coverage within an assigned territory.
• Develop and maintain strong provider relationships and deliver ongoing education and service.
• Negotiate contracts for physicians, physician groups and hospitals of varying sizes.
• Leverage analytics to identify performance improvement opportunities and execute action plans.

Skills

Contract negotiation

Provider relationships

Analytical skills

Travel willingness

Microsoft Office

Verbal & written communication

Deadline-driven

Education

Bachelor degree

Bachelor degree in Business

Tools

EMRs

Population health tools

Excel

PHI handling HIPAA

Job description

Health Care Service Corporation is seeking a provider contracts and performance professional to support HEDIS, STARS, and financial provider initiatives in a Houston-area territory. You will negotiate physician and hospital contracts, build strong provider relationships, and drive value-based care through data-driven strategies.

The role requires travel within the territory, including overnight stays, and offers a collaborative, development-focused environment with opportunities for professional