Provider Relations & Credentialing Specialist - Hybrid

HCSC; Chicago (IL); Hybrid; USD 63,000 - 114,000; Full time

Job summary

Health Care Service Corporation (HCSC) is seeking a qualified professional to manage contracting, credentialing, and maintenance of provider data across all lines of business. The role emphasizes building relations with the provider community and leading specialized operational tasks.

Hybrid/flex role requiring in-office visibility three days per week; relocation and sponsorship are not available. Travel to assigned areas may be required, including overnight stays.

Qualifications

• Bachelor’s degree plus 3 years in managed care or 5+ years in managed care environment.
• Direct provider communication experience.
• Knowledge of health care industry and contracts.
• Experience with claims processing systems.
• Travel within assigned areas, including overnight stays.

Responsibilities

• Contracting, credentialing, and maintenance of provider data across lines of business.
• Promote data integrity and lead operational/provider support duties.
• Participate in internal provider meetings and work groups; provide training to providers.

Skills

Interpersonal skills

Analytical skills

Presentation skills

Communication skills

Travel willingness

Claims processing knowledge

Contracts knowledge

Provider reimbursement knowledge

PC skills (Word/Excel/PowerPoint)

Collaboration

Organizational skills

Time management

Education

Bachelor’s degree + 3 years in managed care

5+ years in managed care environment

Job description

Health Care Service Corporation (HCSC) is seeking a qualified professional to manage contracting, credentialing, and maintenance of provider data across all lines of business. The role emphasizes building relations with the provider community and leading specialized operational tasks.

Hybrid/flex role requiring in-office visibility three days per week; relocation and sponsorship are not available. Travel to assigned areas may be required, including overnight stays.