Provider Network Consultant

Health Care Service Corporation; Chicago (IL); On-site; USD 54,000 - 122,000; Full time

Job summary

Join a purpose-driven company that values employee development and offers a rewarding career in health care. This role focuses on building cooperative relationships with providers, ensuring compliance with contractual obligations, and enhancing communication within the health care community. Ideal candidates will have a background in health care administration and strong interpersonal skills. You will be empowered to take initiative and work independently while contributing to the success of the organization. Embrace the opportunity to grow in a supportive environment that recognizes and values your unique contributions.

Qualifications

• Bachelor’s degree or 4 years experience in managed care required.
• Minimum 2 years of health care administration experience.

Responsibilities

• Developing and maintaining relationships with contracting providers.
• Educating and training providers while evaluating trends.

Skills

Interpersonal Skills

Analytical Skills

Presentation Skills

Communication Skills

Organizational Skills

Initiative

Education

Bachelor’s degree in health care or business administration

4 years work experience in a managed care environment

Tools

Microsoft Office

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.

This position is responsible for developing and maintaining cooperative working relationships with the contracting provider community; educating, training, researching problems; and identifying trends and evaluating providers to ensure contractual and financial requirements are adhered to and performed. Ability and willingness to travel, including overnight stays.

Required Job Qualifications:

1. Bachelor’s degree in health care or business administration or a minimum of 4 years work experience in a managed care environment.
2. Minimum of 2 years of health care administration experience in clinical and financial settings, with direct provider communication experience.
3. Effective interpersonal, analytical, presentation and communication skills.
4. Knowledge of the health care industry and BCBSIL private business.
5. Ability and willingness to travel within assigned areas for responsibility, including overnight stays.
6. Extensive knowledge of contracts, applications, and products.
7. Demonstrated proficiency in provider reimbursement methods.
8. Working knowledge of claims processing systems.
9. Effective organizational and planning skills.
10. Ability to take initiative and work independently.
11. Demonstrated ability to meet deadlines and work well under pressure.
12. Working knowledge of software, including Microsoft Office.

Compensation: $54,800.00 - $121,100.00

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.

To learn more about available benefits, please click https://careers.hcsc.com/totalrewards.