Provider Relations Representative

Health Care Service Corporation; 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) is seeking a Provider Recruitment and Contracting Specialist to support the provider recruitment and contracting process, ensuring strategic coverage for assigned providers.

The role builds relationships with physicians, hospitals and physician groups, supports complex provider activities, and requires willingness to travel; the position is a hybrid role with 3 days in office and 2 days remote.

Qualifications

• Bachelor’s degree with 3+ years in managed care, or 5+ years in a managed care environment.
• At least 2 years in health care administration with direct provider communication.
• Strong interpersonal, analytical, presentation and communication skills.
• Knowledge of the health care industry and contracts.
• Willingness to travel, including overnights as needed.
• Understanding of provider reimbursement methods and claims processing systems.
• Solid organizational and planning skills, able to work under pressure.

Responsibilities

• Establish and maintain relationships with physicians, hospitals and physician groups.
• Support complex hospital and physician provider activities.
• Develop and maintain provider relationships to ensure strategic coverage.

Skills

Managed care experience

Provider communications

Analytical skills

Interpersonal skills

Travel willingness

Contracts knowledge

Claims processing knowledge

PC skills (Word/Excel/PowerPoint)

Education

Bachelor’s degree

Tools

Word

Excel

PowerPoint

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 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.

Compensation: $55,900.00 - $123,500.00

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