Principal Network Management Consultant

Health Care Service Corporation; Chicago (IL); Hybrid; USD 90,000 - 165,000; Full time

Job summary

Join a purpose-driven organization that values its employees and invests in their professional growth. In this hybrid role, you'll be responsible for provider recruitment and contracting, ensuring strategic coverage for your territory. Your negotiation and relationship-building skills will be key as you work with physicians and facilities, aiming to improve efficiencies and results. This position offers a robust total rewards package, including health benefits, a 401(k) plan, and more. If you're looking to make a meaningful impact in the healthcare sector, this opportunity is for you.

Benefits

401(k) savings plan

Pension plan

Paid time off

Paid parental leave

Disability insurance

Tuition reimbursement

Employee assistance program

Paid holidays

Qualifications

• 4 years provider contracting experience or 3 years with a Master's degree.
• Extensive knowledge of provider contracting and claims systems.

Responsibilities

• Responsible for provider recruitment and contracting of physicians and facilities.
• Develop and negotiate contracts and maintain relationships with providers.

Skills

Negotiation skills

Relationship building skills

Analytical skills

Communication skills

PC proficiency (Microsoft Office)

Knowledge of marketplace

Education

Bachelor's degree

Master's degree

8 years business experience

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 SummaryThis position is responsible 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 assigned territory. Responsible for education of providers and for ongoing provider service. Provide subject matter expertise to improve efficiencies and results.

Required Qualifications:

• Bachelor's degree and 4 years provider contracting experience OR Master's degree and 3 years contracting experience OR 8 years business experience including 4 years provider contracting experience. Contracting experience involves negotiating reimbursements, financial arrangements and rates.
• Extensive knowledge of provider and facility contracting, products, and claims/processing systems.
• 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 and business acumen to analyze financial data to determine financial impact of negotiations.
• Ability and willingness to travel within assigned areas of responsibility, including overnight stays.

Preferred Qualifications:

• Negotiation skills.
• Communication skills.
• Analytical skills.
• Experience with hospital systems in Illinois

This is a Flex (Hybrid) role: 3 days in office; 2 days remote.

#LI-DR1
#LI-Hybrid

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

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.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan.

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.

Base Pay Range$90,900.00 - $164,200.00