Provider Relations Representative

HCSC; Corpus Christi (TX); Hybrid; USD 56,000 - 124,000; Full time

Benefits offered by this job

Hybrid work model

Job summary

Health Care Service Corporation (HCSC) seeks a Provider Recruitment and Contracting Specialist to support provider relations and contracting for physicians and hospitals. The role emphasizes building relationships and assisting with complex provider activities, with minimal travel.

This is a Flex (Hybrid) position: 3 days in office and 2 days remote. Base pay ranges from $55,900 to $123,500, with an incentive structure and comprehensive benefits package.

Qualifications

• Bachelor’s degree and 3 years of work experience in managed care, or 5+ years in managed care.
• Minimum of 2 years health care administration experience with provider communication.
• Effective interpersonal, analytical, presentation and communication skills.
• Knowledge of the health care industry.
• Willingness to travel within assigned areas, including overnight stays.
• Knowledge of contracts, applications, and products.
• Understanding of provider reimbursement methods.
• Working knowledge of claims processing systems.
• Strong organizational and planning skills.
• Analytical skills; ability to take initiative and work independently.
• Demonstrated ability to meet deadlines and work under pressure.
• Clear verbal and written communication; collaboration for process improvements.
• PC experience with Word, Excel, PowerPoint; facilitation and presentation skills.

Skills

Interpersonal skills

Analytical skills

Presentation skills

Communication skills

Provider communication

Travel readiness

Organizational skills

Planning skills

Analytical reporting

Collaboration

PC skills (Word, Excel, PPT)

Facilitation

Education

Bachelor’s degree

Tools

Word

Excel

PowerPoint

Job description

Flex

TX - Corpus Christi

TX - San Antonio

TX - Richardson

Full time

R0055483

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 providing support to the provider recruitment and contracting process to ensure strategic coverage for assigned Providers. Specific responsibilities include establishing and maintaining good relations with physicians, hospitals and physician groups. In addition to developing and maintaining relationships with providers. This role will also provide support for complex hospital and physician provider activities. Minimal travel involved.

Required Job Qualifications:

• Bachelor’s degree and 3 years of work experience in managed care, or a minimum of 5 years work experience in a managed care environment.

• Minimum of 2 years of health care administration experience in clinical and financial settings, with direct provider communication experience.

• Effective interpersonal, analytical, presentation and communication skills.

• Knowledge of the health care industry.

• Ability and willingness to travel within assigned areas for responsibility, including overnight stays.

• Knowledge of contracts, applications, and products.

• Understanding of provider reimbursement methods.

• Working knowledge of claims processing systems.

• Effective organizational and planning skills.

• Analytical skills.

• Ability to take initiative and work independently.

• Demonstrated ability to meet deadlines and work well under pressure.

• Clear and concise interpersonal, verbal and written communication skills.

• Collaboration skills resulting in business/process improvements/changes.

• PC experience and skills to include Word, Excel, PowerPoint, etc.

• Facilitation, presentation and analytical skills.

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

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 plan subject 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

$55,900.00 - $123,500.00

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

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.

Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas,

Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association

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