Provider Relations Specialist — Hybrid Growth

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

Benefits offered by this job

Hybrid work schedule

Job summary

HCSC in Illinois seeks a provider data and credentialing specialist responsible for contracting, credentialing, and maintaining professional provider data to support marketing, membership and network contracting across all lines of business. Building strong relations with the provider community and leading data integrity initiatives are essential parts of the role.

This hybrid/flex position requires in-office visibility three days per week, with work-from-home the other two.

Qualifications

• Bachelor’s degree required with 3+ years in managed care or 5+ years in managed care environment.
• Minimum 2 years of health care administration experience with direct provider communication.
• Strong interpersonal, analytical, presentation and communication skills.
• Knowledge of the health care industry and provider reimbursement methods.

Responsibilities

• Contracting, credentialing, and maintenance of provider data across lines of business.
• Support marketing, membership and network contracting efforts.
• Build relations with the provider community and lead data integrity initiatives.
• Provide training and education to nearly all Blue Cross contracted providers.

Skills

Interpersonal skills

Analytical skills

Presentation skills

Communication skills

Time management

Education

Bachelor's degree

Tools

Word

Excel

PowerPoint

Job description

HCSC in Illinois seeks a provider data and credentialing specialist responsible for contracting, credentialing, and maintaining professional provider data to support marketing, membership and network contracting across all lines of business. Building strong relations with the provider community and leading data integrity initiatives are essential parts of the role.

This hybrid/flex position requires in-office visibility three days per week, with work-from-home the other two.