Mgr Network Management - Work From Home

Health Care Service Corp.; United States; Remote; USD 93,000 - 168,000; Full time

Job summary

Health Care Service Corporation (HCSC) is seeking a Provider Contracting and Recruitment Manager to lead daily activities and implement contracting strategies for physicians, physician groups, and facilities including large systems. You will develop and negotiate contracts, educate providers, and ensure enterprise market coverage while mentoring a team in contracting and provider support resources.

Travel may be required.

Qualifications

• Bachelor Degree and 5 years provider contracting experience OR 9 years managed care experience including 5 years provider contracting.
• Extensive knowledge of provider and facility contracting, products, and claims processing systems.
• Negotiation, leadership, and travel readiness to collaborate across the company and resolve issues.

Responsibilities

• Manage daily activities and implement recruitment and contracting strategies for physicians, physician groups, and facilities.
• Develop and negotiate contracts; build and maintain provider relationships and education.
• Ensure strategic coverage for enterprise markets and provide provider service leadership.
• Mentor and train a team responsible for provider contracting and provider support resources.

Skills

Leadership

Negotiation

Relationship building

Project management

Communication

Analytical skills

MS Office

Education

Bachelor's degree

Healthcare administration

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.

Job Summary

This position is responsible for managing daily activities and implementation of strategies for provider recruitment and contracting of physicians, physician groups and facilities including large or complex groups/facilities (large independent hospital systems, integrated & non-integrated systems, value-based contracting, etc.). Develop and negotiate contracts. Develop and maintain relationships with providers. Ensure strategic coverage for enterprise markets. Responsible for education of providers and for ongoing provider service. Responsible for the management, mentoring and training of a team responsible for provider contracting and provider support resources. Provide subject matter expertise to improve efficiency and results. Ability and willingness to travel within assigned areas of responsibility, including overnight stays.

JOB REQUIREMENTS

• Bachelor Degree and 5 years provider contracting experience OR 9 years managed care experience including 5 years provider contracting experience.
• Extensive knowledge of provider and facility contracting, products, and claims/processing systems.
• Leadership skills to oversee staff, implement initiatives, and work across the company to resolve issues.
• 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.
• Project management skills to lead or participate in projects or initiatives.
• Ability and willingness to travel within assigned areas of responsibility, including overnight stays.

Preferred Job Requirements

• Bachelors Degrees in Healthcare Administration or similar focus - HIGHLY PREFERRED.
• Sponsorship will not be provided for this role.
• This is a Telecommute (Remote) role.

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.

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.

Base Pay Range $92,700.00 - $167,500.00 Exact compensation may vary based on skills, experience, and location.

This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

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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.

We are a drug-free and smoke-free workplace.

Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

Accommodations for Individuals with Disabilities

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations.

Please note that only requests for accommodations in the application process will be returned.

All applications, including resumes, must be submitted through HCSC's Career website on-line application process.

Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.