Mgr Network Management - Work From Home

hcsc; United States; Remote; USD 120,000 - 180,000; Full time

Benefits offered by this job

Health and wellness coverage

Retirement savings and pension plans

Paid leave

Tuition reimbursement

Other incentives

Job summary

HCSC seeks a Senior Provider Network Contracting Manager to lead contracting across assigned markets with physician groups, facilities, and complex health systems. You will shape network strategy and drive service improvements, including negotiations and provider education.

The role requires proven leadership, negotiation, relationship-building, and analytical skills, plus deep knowledge of contracts, healthcare products, and claims systems. Travel may be required.

Qualifications

• Bachelor’s degree plus 5 years of provider contracting experience, or 9 years of managed care experience including 5 years in provider contracting.
• Strong knowledge of provider and facility contracts, healthcare products, and claims processing systems.
• Leadership, negotiation, relationship-building, analytical, and project management skills.
• Clear written and verbal communication, proficiency with Microsoft Office, and ability to meet deadlines under pressure.
• Willingness and ability to travel within assigned areas, including overnight stays.

Responsibilities

• Direct daily provider recruitment and contracting activities and put network strategies into practice.
• Develop and negotiate agreements with providers and healthcare facilities, including complex organizations and value-based arrangements.
• Build and maintain provider relationships, provide education and ongoing service, and support strategic market coverage.
• Lead, mentor, and train a team responsible for contracting and provider support.
• Use market and operational knowledge to improve results, resolve issues across the organization, and contribute to projects and initiatives.

Skills

Provider contracting

Negotiation

Leadership

Relationship-building

Analytical

Project management

Communication

Education

Bachelor’s degree

Tools

Microsoft Office

Job description

**Role overview**

Manage provider network contracting and support across assigned markets, including negotiations with physician groups, facilities, and larger or more complex healthcare systems. The position combines market strategy, provider relationship management, and team leadership to build network coverage and support effective contracting and service.

**Responsibilities**

• Direct daily provider recruitment and contracting activities and put network strategies into practice.
• Develop and negotiate agreements with providers and healthcare facilities, including complex organizations and value-based arrangements.
• Build and maintain provider relationships, provide education and ongoing service, and support strategic market coverage.
• Lead, mentor, and train a team responsible for contracting and provider support.
• Use market and operational knowledge to improve results, resolve issues across the organization, and contribute to projects and initiatives.

**Requirements**

• Bachelor’s degree plus 5 years of provider contracting experience, or 9 years of managed care experience including 5 years in provider contracting.
• Strong knowledge of provider and facility contracts, healthcare products, and claims processing systems.
• Leadership, negotiation, relationship-building, analytical, and project management skills.
• Clear written and verbal communication, proficiency with Microsoft Office, and ability to meet deadlines under pressure.
• Willingness and ability to travel within assigned areas, including overnight stays.

**Nice to have**

• Bachelor’s degree in healthcare administration or a related field.

**Benefits and work setup**

• Remote role; work location is limited to the continental United States, excluding California, New York, Alaska, and Hawaii.
• Benefits include health and wellness coverage, retirement savings and pension plans, paid leave, tuition reimbursement, and other incentives.