Network Ops Coordinator II

HCSC; Houston (TX); Hybrid; USD 41,000 - 93,000; Full time

Benefits offered by this job

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

Job summary

HCSC is seeking a field-facing professional to oversee HEDIS quality measures and Medicare Wellness Attestation, while managing provider relationships and data integrity to support value-based care initiatives.

The role requires collaboration with internal and external stakeholders, excellent communication, and independent problem-solving in a hybrid working environment based out of Philadelphia, PA, with significant provider engagement in the field.

Qualifications

• Bachelor degree or 4 years of health care industry experience.
• 2 years of experience with provider network contracting and credentialing systems.
• Strong written and verbal communication skills; analytical mindset; ability to work independently.

Responsibilities

• Oversight of HEDIS quality measures and Medicare Wellness Attestation completion.
• Provider relationship management and data maintenance to support value-based care initiatives.
• Engage internal and external stakeholders; cross-functional collaboration and problem solving.

Skills

Written and verbal communication

Analytical and quantitative skills

Ability to take initiative

Independent work

Education

Bachelor degree or 4 years of health care industry experience

Job description

Flex

TX - Houston

Full time

R0055536

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 the following areas: Overall Performance/HEDIS Quality Measures, Medicare Annual Wellness Visit/Attestation Completion, Provider Relationship Management, Operations and Systems (Pop Health Platform, Sales Force Updates, Cross-Functional Collaboration (Internal and External Stakeholders) And Maintenance Of Professional Provider Data To Support Key Value-Based Care Initiatives, Membership And Network Operations. Building Relations With The Provider Community Is An Important Part Of This Role. Responsibilities Include Promoting High-Quality Initiatives To Support Data Integrity. Accepting Ownership And Leading Highly Specialized Operational And Provider Support Duties That Require Independent Initiative and Problem-Solving. This Role Includes Participating In Internal Provider Meetings And Work Groups, Researching Problems Related To Provider Performance/Engagement, Data And Network Participation.

Required Job Qualifications:

• Bachelor degree OR 4 years of experience in the Health Care industry
• 2 years of experience with Provider Network contracting and credentialing systems
• Written and verbal communication skills to interact with internal and external customers
• Analytical and quantitative skills
• Ability to take initiative and work independently

Preferred Job Qualifications:

• Subject Matter Expert in Professional Provider Network Relations (claims service issues, contracting, and finance)
• Experience with Population Health Management applications and Microsoft Office Tools including Excel (VLOOKUPS, pivot tables) and Power Point.

This Is a Hybrid Role based out of Philadelphia, PA - 80% of your time will be spent out in the field meeting with Providers.

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 .

• 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

Base Pay Range

$41,700.00 - $92,800.00

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

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.

For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities.

Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment.

HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants.

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. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions.