Provider Network Growth & Contracts Specialist

HCSC Group; Austin (TX); On-site; USD 56,000 - 124,000; Full time

Job summary

HCSC in Austin, TX is seeking a skilled provider relations professional to plan and direct recruitment and contracting activities, educate providers on plan benefits and reimbursement, and provide ongoing service and support.

The ideal candidate has a bachelor’s in business or 6 years leadership experience, plus several years in claims or provider relations, with strong negotiation, travel ability, and proficiency in Microsoft Office.

Qualifications

• Bachelor’s degree in business or 6 years leadership experience.
• 4 years’ experience in claims, customer service, physician office or hospital environment.
• 3 years’ experience in physician/provider relations, including contracting and reimbursement.
• Ability to negotiate and contract with healthcare providers.
• Proficient with Microsoft Office and able to work independently.
• Willingness to travel; able to travel overnight.
• Strong organizational and planning skills.

Responsibilities

• Plan and direct provider recruitment and contracting activities.
• Educate providers on plan benefits, policies and reimbursement.
• Provide ongoing provider service and support.
• Resolve complex provider issues and liaise with internal partners.
• Train new and existing network staff.

Skills

Leadership

Negotiation

Provider relations

Microsoft Office

Travel

Multi-tasking

Independent worker

Education

Bachelor’s degree in business

Tools

BCBSTX systems

Job description

HCSC in Austin, TX is seeking a skilled provider relations professional to plan and direct recruitment and contracting activities, educate providers on plan benefits and reimbursement, and provide ongoing service and support.

The ideal candidate has a bachelor’s in business or 6 years leadership experience, plus several years in claims or provider relations, with strong negotiation, travel ability, and proficiency in Microsoft Office.